Case report: Sentinel lymph node mapping of endometrial carcinoma occurring in uterine didelphys

Sassine, Dib; Moufarrij, Sara; Hodgson, Anjelica; Ehmann, Sarah; Abu‐Rustum, Nadeem R.; Chiang, Sarah; Jewell, Elizabeth L.

doi:10.1016/j.gore.2021.100769

Cited by 3 publications

(3 citation statements)

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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%

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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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Section: Discussionmentioning

confidence: 78%

Section: Discussionmentioning

confidence: 99%

Uterus didelphys complicated with endometrial carcinoma

Chen

Zhang

et al. 2022

Medicine

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“…Additionally, the utilization of SLN mapping in cases of didelphys uterus combined with endometrial cancer has been documented in a single case report by Sassine et al [8]. In this instance, the patient, a 70-year-old female diagnosed with endometrioid adenocarcinoma in the left uterine horn (stage IB, grade 1, FIGO 2018), underwent SLN mapping.…”

Section: Referencesmentioning

confidence: 98%

Endometrial Cancer in a Patient With Didelphys Uterus and a History of Renal Cancer: A Case Report and Literature Review

Bairaktaris,

Chorianopoulou,

Kokkali

et al. 2023

Cureus

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Müllerian duct anomalies (MDAs) concurrent with endometrial cancer are exceptionally rare, with only a few documented cases. Here, we present a case of endometrial cancer in both horns of a didelphys uterus in a 54-year-old woman with a history of renal cancer, who underwent left radical nephrectomy and left salpingo-oophorectomy. The patient sought medical evaluation due to postmenopausal vaginal bleeding. Hysteroscopy with dilation and curettage revealed the presence of two cervixes and two endometrial cavities, with pathology results indicating endometrioid adenocarcinoma (G1). Preoperative MRI staging confirmed the diagnosis of a double cervix and uterus. Subsequently, an open abdominal hysterectomy and a right salpingo-oophorectomy were performed, revealing a didelphys uterus (International Federation of Gynaecology and Obstetrics 2018, stage IA). This manuscript aims to explore the potential correlation between renal and endometrial malignancies in the presence of MDAs.

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