A uterus didelphys bicollis, with endometrial cancer in both uteruses

Bhalla, R.; Evans, Herbert M.; Berger, Laura; Crow, Julie; Deheragoda, M.; Taper, Y.

doi:10.1080/01443610500338214

Cited by 7 publications

(4 citation statements)

References 1 publication

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“…However, in contrast to our case, all of the latter women were premenopausal and only one had high-risk EC (Fanfani et al, 2006;Kunos et al, 2011;Bhalla et al, 2005) which required adjuvant therapy.…”

Section: Discussioncontrasting

confidence: 81%

Adjuvant intravaginal brachytherapy for uterus didelphys with synchronous endometrial adenocarcinomas and unfavourable vaginal topography

Morris

Stevens

Valmadre

et al. 2012

Gynecologic Oncology Case Reports

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Section: Discussioncontrasting

confidence: 81%

Adjuvant intravaginal brachytherapy for uterus didelphys with synchronous endometrial adenocarcinomas and unfavourable vaginal topography

Morris

Stevens

Valmadre

et al. 2012

Gynecologic Oncology Case Reports

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“…We reviewed published articles on uterine malformations complicated by endometrial cancer in PubMed from January 1, 1990 to June 30, 2021, and screened the articles on double uterine malformations. We found only 18 cases of uterine didelphys complicated by malignant tumors, including 15 cases of EC, 2 cases of carcinosarcoma, and 1 case of sarcoma [9,11–27] . The incidence of bilateral uterine involvement was even lower, with only 3 cases reported in the literature, including 1 case of sarcoma.…”

Section: Discussionmentioning

confidence: 78%

“…We found only 18 cases of uterine didelphys complicated by malignant tumors, including 15 cases of EC, 2 cases of carcinosarcoma, and 1 case of sarcoma. [9,[11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27] The incidence of bilateral uterine involvement was even lower, with only 3 cases reported in the literature, including 1 case of sarcoma. In our patient, diagnostic curettage revealed involvement of both the uterine cavity and cervix; therefore, modified radical hysterectomy was chosen.…”

Section: Discussionmentioning

confidence: 99%

Uterus didelphys complicated with endometrial carcinoma

Chen

Zhang

et al. 2022

Medicine

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Rationale:The incidence of uterine malformations is low (4%–7%). Currently, the National Comprehensive Cancer Network clinical practice guidelines in oncology recommend minimally invasive surgery for early endometrial cancer. Minimally invasive surgery for the treatment of uterine didelphys with endometrial cancer is rare due to the large size of the uterus. To date, only 2 such patients have been reported to have undergone laparoscopy. Whether such patients can be treated with minimally invasive surgery needs to be further explored.Patient concerns:A 40-year-old woman with uterine didelphys was hospitalized for menorrhagia in the past 2 months.Diagnosis:Endometrial adenocarcinoma was found in both the uterus and cervix using fractional dilation and curettage.Interventions:The patient underwent laparoscopic surgery. Postoperative adjuvant radiotherapy and chemotherapy were administered.Outcomes:There was no sign of recurrence during routine follow-up.Lessons:The use of a uterine manipulator to lift either side of the uterus could help to expose the narrow ipsilateral para-uterine field. It is difficult to remove the uterus entirely through the vagina, making it necessary to select appropriate cases wherein screening is performed to check if the vagina is loose, and the uterus is of appropriate size. Minimally invasive surgery may be feasible for suitable patients.

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“…6 A correlation between the presence of uterine malformations and the incidence of endometrial cancer has never been reported, and in the present literature, there are only few reports of endometrial cancer arising in patients with müllerian abnormalities. This case illustrates the importance of existence of uterine abnormalities in the differential diagnosis when evaluating postmenopausal bleeding.…”

Section: Discussionmentioning

confidence: 80%

A single horn endometrial carcinoma of a uterus bicornis unicollis

et al. 2009

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In this report, we describe a case of endometrial carcinoma arising in one horn of a bicornuate uterus. The diagnosis of this rare combination can be missed unless an unrecognized postmenopausal bleeding alerts the gynecologist to make a careful search for both endometrial cavities that may be curetted. Physicians should remember the possible existence of a separate uterine cavity when endometrial cancer is clinically suspected but histology fails to confirm the diagnosis.

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A uterus didelphys bicollis, with endometrial cancer in both uteruses

Cited by 7 publications

References 1 publication

Adjuvant intravaginal brachytherapy for uterus didelphys with synchronous endometrial adenocarcinomas and unfavourable vaginal topography

Adjuvant intravaginal brachytherapy for uterus didelphys with synchronous endometrial adenocarcinomas and unfavourable vaginal topography

Uterus didelphys complicated with endometrial carcinoma

A single horn endometrial carcinoma of a uterus bicornis unicollis

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