March 11, 2026 · Gynecologic oncology reports · DOI: 10.1016/j.gore.2026.102054

Unilateral cervical carcinoma in a septate uterus with double cervix: A case report and literature review

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The authors aim to explore the challenges of diagnosing and managing cervical cancer in patients with Müllerian anomalies, specifically focusing on a case of unilateral invasive endocervical adenocarcinoma in a patient with a complete septate uterus and longitudinal vaginal septum. They highlight the difficulties in cytologic sampling due to altered anatomy, which can delay cancer detection, and emphasize the need for thorough anatomical assessments for accurate diagnosis and treatment. The case presented demonstrates successful management and the importance of individualized care in such complex scenarios.

Camilla Bandeira Soares, Nick M Spirtos, Joao Jabbur Stern, Marcelle Almeida Souza, Felipe Jacyntho Laterça, Gustavo Guitmann

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