Endometrial adenocarcinoma in one horn of a didelphic uterus with vaginal duplication.
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.
Fundación Jimenez Díaz, IDC Salud, Madrid, Spain.
Daniel
D
Vázquez Vicente
Fundación Jimenez Díaz, IDC Salud, Madrid, Spain.
Hugo Ariel
HA
Di Fiore
Fundación Jimenez Díaz, IDC Salud, Madrid, Spain.
Jesús
J
Garcia-Foncillas
Fundación Jimenez Díaz, IDC Salud, Madrid, Spain.
Javier
J
Plaza Arranz
D000015:Abnormalities, Multiple / Q000175:diagnosis; D000230:Adenocarcinoma / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D016889:Endometrial Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D019160:Endosonography / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007044:Hysterectomy / Q000379:methods; D015907:Hysteroscopy / Q000379:methods; D010535:Laparoscopy / Q000379:methods; D008279:Magnetic Resonance Imaging / Q000379:methods; D008875:Middle Aged; D010052:Ovariectomy / Q000379:methods; D017698:Postmenopause; D018570:Risk Assessment; D016896:Treatment Outcome; D014564:Urogenital Abnormalities / Q000175:diagnosis* / Q000601:surgery; D014592:Uterine Hemorrhage / Q000175:diagnosis / Q000209:etiology; D014599:Uterus / Q000002:abnormalities* / Q000601:surgery; D014621:Vagina / Q000002:abnormalities* / Q000601:surgery