Endometrioid carcinoma in a patient with a complete doubling of uterus

Abstract

One of the most common variants of malignant neoplasms of the female reproductive system is endometrial cancer. At the same time, cases of this disease in patients with genital abnormalities are extremely rare in the general structure of female oncopathology. The article presents clinical cases of endometrioid carcinoma in a 75-year-old woman with doubling of uterus. According to the clinical picture, the results of ultrasound, magnetic resonance imaging and histological examination of endometrial scraping, the following diagnosis was made: cancer of the doubled uterus IB (cT1bNxM0) G2 (morphological type — endometrioid carcinoma). The surgery was performed: laparotomy, modified extended extirpation of the uterus with appendages of level B2 with pelvic lymph node dissection C3, omentectomy. The result of postoperative histological examination confirmed the preoperative diagnosis. The postoperative period was uneventful. The presented rare clinical case demonstrates the need to increase clinical suspicion in relation to patients with abnormalities of the uterus structure. Timely diagnosis and verification of the diagnosis will allow to provide adequate treatment, which will affect the prognosis of survival.