title: Unilateral Human Papillomavirus Infection and Cervical Dysplasia in a Patient With Two Cervices.
abstract: BACKGROUND
  In a uterine didelphys with two cervices, cervical screening may not reveal the same abnormalities.
  
  
  METHODS
  We present a patient with a uterine didelphys with two cervices in a single vagina after resection of a longitudinal vaginal septum at age 12. She presented with abnormal Pap test results with the right and left cervices discordant from each other. Despite both cervices sharing stroma in the midline, her right cervix was negative for human papillomavirus (HPV) and dysplasia, while her left cervix was HPV positive with high-grade cervical dysplasia on an excisional specimen.
  
  
  CONCLUSIONS
  Uterine didelphys with shared bilateral cervices will not necessarily share the same HPV status or have concordant dysplasia.
authors: Departments of Gynecology and Pathology and Laboratory Medicine, Lahey Hospital and Medical Center, Burlington, Massachusetts.
authors: Harneet
authors: H
authors: Gujral
authors: Jennifer A
authors: JA
authors: Bennett
authors: Kelly N
authors: KN
authors: Wright
mesh_terms: D000328:Adult; D002584:Cervix Uteri / Q000002:abnormalities* / Q000601:surgery / Q000821:virology; D005260:Female; D006801:Humans; D065006:Papanicolaou Test; D027383:Papillomaviridae; D030361:Papillomavirus Infections / Q000150:complications* / Q000821:virology; D002578:Uterine Cervical Dysplasia / Q000150:complications* / Q000821:virology; D014621:Vagina / Q000601:surgery / Q000821:virology; D014626:Vaginal Smears / Q000379:methods