Endometrial adenocarcinoma in one horn of a didelphic uterus with vaginal duplication

BMJ Case Rep. 2014 May 19:2014:bcr2013203280. doi: 10.1136/bcr-2013-203280.

Abstract

A 59-year-old female patient presented with vaginal bleeding. A didelphic uterus with vaginal duplication was diagnosed on the basis of physical examination and radiology tests. Biopsy revealed an endometrial cancer in the left horn, while the right was atrophic. Laparoscopic hysterectomy, bilateral salphingo-oophorectomy, pelvic and para-aortic lymphadenectomy were performed. According to Federation International of Gynecology and Obstetrics (FIGO) staging the tumour was classified Ib. The adjuvant therapy was vaginal cuff brachytherapy. After 6 months, she has no evidence of the disease.

Publication types

  • Case Reports

MeSH terms

  • Abnormalities, Multiple / diagnosis
  • Adenocarcinoma / complications
  • Adenocarcinoma / diagnosis*
  • Adenocarcinoma / surgery
  • Endometrial Neoplasms / complications
  • Endometrial Neoplasms / diagnosis*
  • Endometrial Neoplasms / surgery
  • Endosonography / methods
  • Female
  • Follow-Up Studies
  • Humans
  • Hysterectomy / methods
  • Hysteroscopy / methods
  • Laparoscopy / methods
  • Magnetic Resonance Imaging / methods
  • Middle Aged
  • Ovariectomy / methods
  • Postmenopause
  • Risk Assessment
  • Treatment Outcome
  • Urogenital Abnormalities / diagnosis*
  • Urogenital Abnormalities / surgery
  • Uterine Hemorrhage / diagnosis
  • Uterine Hemorrhage / etiology
  • Uterus / abnormalities*
  • Uterus / surgery
  • Vagina / abnormalities*
  • Vagina / surgery

Supplementary concepts

  • Uterine Anomalies