Cervical cancer complicated by a pelvic kidney

Area of Science:

• Urology
• Gynecologic Oncology
• Radiotherapy

Background:

• Cervical cancer management often involves radiation therapy.
• Pelvic kidneys are rare congenital anomalies where the kidney is located in the pelvic cavity.
• Aberrant blood supply and short ureters can complicate pelvic kidney management.

Observation:

• A case of cervical cancer co-occurring with a pelvic kidney was identified.
• The pelvic kidney presented with unusual vascularization and a shortened ureter.

Findings:

• Standard radiation fields for cervical cancer may encompass the pelvic kidney.
• Management strategies must address the unique anatomy of the pelvic kidney.

Implications:

• Relocating the pelvic kidney outside the radiation field is a potential management option.
• Nephrectomy (surgical removal of the kidney) is another option for patients undergoing definitive radiation therapy.
• Careful pre-treatment planning is crucial for patients with this rare complication to optimize treatment outcomes and minimize morbidity.