Table 1.

Timeline of the patient's clinical course

Timepoint	Clinical events
~ 6 months before admission	Onset of abnormal uterine bleeding
Initial visit to local clinic	Endometrial cytology suspicious; endometrial biopsy showed a few atypical glands
Referral to our hospital	Referred for further evaluation and management
Initial evaluation at our hospital	Vital signs stable; transvaginal ultrasonography showed thickened endometrium (~ 10 mm)
Laboratory tests	Mild liver dysfunction; D-dimer mildly elevated; tumor markers within normal limits
Imaging studies	Pelvic MRI revealed ~ 12-mm intrauterine mass with malignant features; CT confirmed situs inversus totalis without metastasis
Preoperative diagnosis	Suspected stage IA endometrial cancer (FIGO 2008)
Surgery	Laparoscopic total hysterectomy with bilateral salpingo-oophorectomy; bilateral peritoneal defects of the broad ligament identified
Postoperative course	Uneventful recovery; discharged on postoperative day 6
Histopathology	Endometrioid carcinoma, grade 1, FIGO stage IA
Follow-up (4 years)	No evidence of recurrence