Endometrial carcinoma in a single horn of a bicornuate uterus: A case report

Journal of the Egyptian National Cancer Institute
Khaled GaballaG Scambia

Abstract

We discuss the diagnosis and the management of endometrial carcinoma in a single horn of bicornuate uterus in a 64-year-old woman as a case report. The case underwent laparoscopic radical hysterectomy and bilateral iliac lymphadenectomy. The gross examination of the uterus revealed a bicornuate uterus with a greater horn of 12 × 9 × 8 cm and a smaller horn of 10 × 3 cm. The cavity of the greater horn showed a neoplastic growth of 10 cm with infiltration of about 1,8 cm of the myometrium from whole thickness of 1.9 cm. while the other horn was free of tumor tissue. The microscopic examination of the uterus revealed G2 endometrioid adenocarcinoma of the endometrium of the greater horn with infiltration of more than 50% of the myometrium. In the presence of bicornuate uterus, a bilateral endometrial biopsy should be performed in order to reduce the risk of delayed or missed diagnosis. The management of a case of bicornuate unicollis uterus with endometrial carcinoma in only one horn is the same as patients with endometrial cancer in single uterus and depends mainly on stage and histological grade of the tumor. The possibility of existence of a separate uterine cavity should always be considered when endometrial cancer is clinicall...Continue Reading

References

Jun 5, 1991·European Journal of Obstetrics, Gynecology, and Reproductive Biology·S LurieR Borenstein
Jan 1, 1991·Gastrointestinal Radiology·P SlezakR Befrits
Jan 15, 1981·American Journal of Obstetrics and Gynecology·E Eichner, K A Simak
Jun 12, 2002·Journal of Pediatric and Adolescent Gynecology·K J Elford, J E H Spence
Dec 8, 2004·Gynecologic Oncology·Julene R MooreMeenakshi Singh
Dec 25, 2007·Fertility and Sterility·Elizabeth Taylor, Victor Gomel
Oct 8, 2009·Journal of Gynecologic Oncology·Cem DaneAhmet Cetin

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