Squamous cell carcinoma of one cervix invading the cavity in a uterus didelphys

Purpose: To report a case of a woman diagnosed with squamous cell carcinoma in one cervix invading the cavity ipsilaterally in a uterus didelphys and to discuss the diagnosis and treatment for such coexistences. Materials and Methods: A 47-year-old woman was admitted with the complaint of intermittent abdominal pain on the right associated with the anus sank bilge feeling. It was diagnosed with squamous cell carcinoma in the right cervix invading the cavity in a uterus didelphys preoperatively (FIGO classification IIA2). Radical hysterectomy with bilateral salpingo-oophorectomy and bilateral pelvic lymphadenectomy were performed. Results: Pathological examination showed non-cornification of squamous cell carcinomas on the right cervix, which extended to the entire wall of the lower uterus; widely vascular tumor emboli and nerve invasion were detected. The smaller uterine and both vaginal walls were not affected. Then paclitaxel and carboplatin chemotherapy and radiation were performed. No findings suggested recurrence during two years of follow-up. Conclusion: The treatment for cervical cancer can be challenging because of the anatomical anomaly. Successful treatment is primarily facilitated by detection of such coexistences, and then, with the optimization of the available resources to customize the best possible plan for individual patients.

Müllerian duct anomalies; Uterus didelphys; Cervical cancer; Treatment

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