BACKGROUND:

Müllerian abnormalities are between 0.5 and 5% depends on the population in a clinical trial, and endometroid ovarian cancer is 10% of all ovarian cancers.

CLINICAL CASE:

A 45-year-old patient with chronic abdominal-pelvic pain associated with high concentrations of Ca-125 (94 U). In the extension studies, the radiography reported: uterus didelphys and a solid ovarian tumor. Treatment consisted of resection of the lesion of the right ovary. The histopathology report was: endometrioid carcinoma grade 2 (IC2), moderately differentiated. The adjuvant chemotherapy protocol included 6 cycles of carboplatin and paclitaxel, with good tolerance. Today the patient is disease free and under regular surveillance.

CONCLUSIONS:

The diagnosis of Müllerian malformations is established by amenorrhea in young patients and failure to achieve a full-term pregnancy in adult women. The association between ovarian malignancy and endometrial hyperplasia in both uterine cavities and gynecological malformations has been very little reported in the literature.

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