Locally advanced adenocarcinoma of the cervix
on uterus didelphys: a case report

Abel Cordoba; Alexandre Escande; Pauline Comte; Ingrid Fumagalli; Lucie Bresson; Ndaye Mubiayi; Eric Lartigau

doi:10.5114/jcb.2017.65640

eISSN: 2081-2841
ISSN: 1689-832X

Journal of Contemporary Brachytherapy

Current Issue Archive Supplements Articles in Press Journal Information Aims and Scope Editorial Office Editorial Board Register as Author Register as Reviewer Instructions for Authors Abstracting and indexing Subscription Advertising Information Links

Editorial System

Submit your Manuscript

1/2017
vol. 9

Send email

Copy url:

abstract:

Case report

Locally advanced adenocarcinoma of the cervix on uterus didelphys: a case report

Abel Cordoba

,

Alexandre Escande

,

Pauline Comte

,

Ingrid Fumagalli

,

Lucie Bresson

,

Ndaye Mubiayi

,

Eric Lartigau

J Contemp Brachytherapy 2017; 9, 1: 71–76

DOI: https://doi.org/10.5114/jcb.2017.65640

Online publish date: 2017/01/31

View full text Get citation

In November 2013, a woman with Herlyn-Werner-Wunderlich (HWW) syndrome was diagnosed with a locally advanced left cervical adenocarcinoma. The patient’s malformation consisted of two uteri with two cervixes, a obstructed vagina, and a left renal agenesis. Classification FIGO: stage IIIa because of infiltration of the inferior third of the vagina wall. Locoregional management comprised an infrarenal lateral aortic lymphadenectomy followed by concomitant radio-chemotherapy to the pelvic (inguinal, pelvic, and infrarenal para aortic nodes) volumes. A total of 50.4 Gy were delivered (1.8 Gy/fraction/day) to the node (inguinal, pelvic, and aortic infrarenal) and pelvic volume; a concomitant boost to the primary cervical tumor and macroscopic nodes to 59.92 Gy (2.14 Gy/fraction/day) was performed. 20 Gy were delivered with intracavitary brachytherapy boost with mold technique and a pulsed-dose-rate technique due to the rarity of this uterine malformation. After 30 months of follow-up, there was no evidence of locoregional or distant recurrence.

keywords:

Locally advanced adenocarcinoma of the cervix on uterus didelphys: a case report

Abel Cordoba , Alexandre Escande , Pauline Comte , Ingrid Fumagalli , Lucie Bresson , Ndaye Mubiayi , Eric Lartigau

cervix cancer, cervical cancer, pulsed-dose-rate, uterus didelphys

Abel Cordoba

,

Alexandre Escande

,

Pauline Comte

,

Ingrid Fumagalli

,

Lucie Bresson

,

Ndaye Mubiayi

,

Eric Lartigau