@Article{Cordoba2017,
journal="Journal of Contemporary Brachytherapy",
issn="1689-832X",
volume="9",
number="1",
year="2017",
title="Locally advanced adenocarcinoma of the cervix
on uterus didelphys: a case report",
abstract="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.",
author="Cordoba, Abel
and Escande, Alexandre
and Comte, Pauline
and Fumagalli, Ingrid
and Bresson, Lucie
and Mubiayi, Ndaye
and Lartigau, Eric",
pages="71--76",
doi="10.5114/jcb.2017.65640",
url="http://dx.doi.org/10.5114/jcb.2017.65640"
}