Article Data

  • Views 511
  • Dowloads 151

Case Reports

Open Access

A case of delayed diagnosis of endometrial carcinoma due to a uterus didelphys

  • R.R. Aapkes1,*,
  • R.A.K. Samlal1

1Hospital Gelderse Vallei Ede, Ede, The Netherlands

DOI: 10.12892/ejgo4104.2017 Vol.38,Issue 5,October 2017 pp.810-812

Published: 10 October 2017

*Corresponding Author(s): R.R. Aapkes E-mail: r.r.aapkes@gmail.com

Abstract

In this case report, the authors present a patient with postmenopausal bleeding in whom diagnosis was delayed due to a uterus didelphys. Early diagnosis is important in endometrial carcinoma to ensure the highest possible chances of survival. In case of postmenopausal bleeding, physicians should be aware of the possibility of a uterus anomaly, especially in the presence of related congenital abnormalities as renal abnormalities. If there is any clinical suspicion of a uterus anomaly, such as uterus didelphys, further investigations such as MRI are needed and biopsies of both horns of the uterus are indicated.

Keywords

Uterus anomaly; Müllerian duct anomaly; Uterus didelphys; Postmenopausal bleeding; Endometrial carcinoma.

Cite and Share

R.R. Aapkes,R.A.K. Samlal. A case of delayed diagnosis of endometrial carcinoma due to a uterus didelphys. European Journal of Gynaecological Oncology. 2017. 38(5);810-812.

References

[1] Jemal A., Bray F., Center M.M., Ferlay J., Ward E., Forman D.: “Global Cancer Statistics”. CA Cancer J. Clin., 2011, 61, 69.

[2] Creasman W.T., Odicino F., Maisonneuve P., Quinn M.A., Beller U., Benedet J.L. et al.: “Carcinoma of the corpus uteri. FIGO 26th annual report on the results of treatment in gynecological cancer.” Int. J. Gynaecol. Obstet., 2006, 95, S105.

[3] Kim H.H., Laufer M.R.: “Developmental abnormalities of the female reproductive tract.” Curr. Opin. Obstet. Gynecol., 1994, 6, 518.

[4] Chan Y.Y., Jayaprakasan K., Zamora J., Thorton J.G., et al.: “The prevalence of congenital uterine anomalies in unselected and highrisk populations: a systematic review.” Hum. Reprod. Update, 2011, 17, 761.

[5] Dreisler E., Stampe Sorenson S.: “Mullerian duct anomalies diagnosed by saline contrast sonohysterography: prevalence in general population.” Fertil. Steril., 2014, 102, 525.

[6] Grimbizis G.F., Camus M., Tarlatzis B.C., Bontis J.N., Devroey P.: “Clinical implications of uterine malformations and hysteroscopic treatment results.” Hum. Reprod. Update, 2001, 7, 161.

[7] Lin P.C., Bhatnagar K.P., Nettleton G.S., Nakajima ST.: “Female genital anomalies affecting reproduction.” Fertil. Steril., 2002, 78, 899.

[8] Oppelt P., von Have M., Paulsen M., Strissel P.L., Strick R., Brucker S., et al.: “Female genital malformations and their associated abnormalities.” Fertil. Steril. 2007, 87, 335.

[9] Fealy J., Nelson J.H.: “Adenocarcinoma in one-half of a uterus didelphys.” Med. Ann. Dist. Columbia, 1957, 26, 76.

[10] Siegler S.L.: “Adenocarcinoma in one horn of uterus didelphys.” Am. J. Obstet. Gynecol., 1950, 59, 162.

[11] Fly O.S., Pratt J.H.: “Carcinoma of the fundus occuring in double uterus. Report of three cases.” Am. J. Obstet. Gynecol., 1956, 72, 669.

[12] Dane C., Zeynap T., Dane B., Erqinbas M., Cetin A.: “A single horn endometrial carcinoma of a uterus bicornis unicollis.” J. Gynecol. Oncol., 2009, 20, 195.

[13] Olpin J.D., Heilbrun M.: “Imaging of Müllerian duct anomalies.” Top. Magn. Reson. Imaging, 2010, 21, 225.

[14] Pellerito J.S., McCarthy S.M., Doyle M.B., Glickman M.G., DeCherney A.H.: “Diagnosis of uterine anomalies: relative accuracy of MR imaging, endovaginal sonography, and hysterosalpingography.” Radiology, 1992, 183, 795.

[15] Voss M.A., Ganesan R., Ludeman L., McCarthy K., Gornall R., Schaller G., et al.: “Should grade endometrioid endometrial carcinoma be considered a type 2 cancer-a clinical and pathological evaluation.” Gynecol. Oncol., 2012, 124, 15.

Abstracted / indexed in

Science Citation Index Expanded (SciSearch) Created as SCI in 1964, Science Citation Index Expanded now indexes over 9,500 of the world’s most impactful journals across 178 scientific disciplines. More than 53 million records and 1.18 billion cited references date back from 1900 to present.

Biological Abstracts Easily discover critical journal coverage of the life sciences with Biological Abstracts, produced by the Web of Science Group, with topics ranging from botany to microbiology to pharmacology. Including BIOSIS indexing and MeSH terms, specialized indexing in Biological Abstracts helps you to discover more accurate, context-sensitive results.

Google Scholar Google Scholar is a freely accessible web search engine that indexes the full text or metadata of scholarly literature across an array of publishing formats and disciplines.

JournalSeek Genamics JournalSeek is the largest completely categorized database of freely available journal information available on the internet. The database presently contains 39226 titles. Journal information includes the description (aims and scope), journal abbreviation, journal homepage link, subject category and ISSN.

Current Contents - Clinical Medicine Current Contents - Clinical Medicine provides easy access to complete tables of contents, abstracts, bibliographic information and all other significant items in recently published issues from over 1,000 leading journals in clinical medicine.

BIOSIS Previews BIOSIS Previews is an English-language, bibliographic database service, with abstracts and citation indexing. It is part of Clarivate Analytics Web of Science suite. BIOSIS Previews indexes data from 1926 to the present.

Journal Citation Reports/Science Edition Journal Citation Reports/Science Edition aims to evaluate a journal’s value from multiple perspectives including the journal impact factor, descriptive data about a journal’s open access content as well as contributing authors, and provide readers a transparent and publisher-neutral data & statistics information about the journal.

Submission Turnaround Time

Conferences

Top