Congenital malformations of the female genital tract are defined as deviations from normal anatomy resulting from embryological maldevelopment of the Müllerian or paramesonephric ducts. This condition represents a rather common benign condition with a prevalence of 4–7%. Cervical cancer and didelphys uterus is an infrequent condition in clinical practice. Association between cervical cancer and Müllerian malformation is limited to medical references. We present a surgical treatment with a result IB1, with systematic pelvic and paraaortic nodal dissection, with poor prognostic factors, she is chemoradiotherapy treatment. She is a patient 55 years old, with no symptoms in young adulthood or teenager in relation to didelphys uterus. Always it is possible we encourage the primary surgical treatment, we can get prognostic factors and is possible scan other congenital malformation, also the point A is not constant for planned a radiotherapy treatment finally lymphatic channels in anatomical distortion could be evaluated and measure the nodal affection, and improve and personalize radiotherapy treatment. This case is an absolutely infrequent in the clinical practice.