title: Adenoid cystic carcinoma of the cervix.
abstract: BACKGROUND
  Adenoid cystic carcinoma of the cervix is a rare and aggressive neoplasm for which there are no standardized treatment protocols.
  
  
  METHODS
  A 38-year-old G3P3 Asian female diagnosed with a stage Ib adenoid cystic carcinoma of the cervix with intermediate risk histologic features received a type III hysterectomy in July 2004. She refused external beam radiotherapy, but agreed to be treated with adjuvant vaginal cuff radiation. She has been closely followed and has no evidence of disease to date.
  
  
  CONCLUSIONS
  Patients with stage Ib adenoid cystic carcinoma of the cervix, especially those with histologic features associated with a higher risk of recurrence, should receive aggressive local therapy, following the guidelines established for similarly staged patients with squamous cell carcinoma of the cervix.
authors.affiliation: Department of Obstetrics and Gynecology, Bridgeport Hospital, Bridgeport, CT 06610, USA. sak18@aol.com
authors.forename: Shlomo A
authors.initials: SA
authors.lastname: Koyfman
authors.forename: Alireza
authors.initials: A
authors.lastname: Abidi
authors.forename: Pars
authors.initials: P
authors.lastname: Ravichandran
authors.forename: Susan A
authors.initials: SA
authors.lastname: Higgins
authors.forename: Masoud
authors.initials: M
authors.lastname: Azodi
mesh_terms: D000328:Adult; D003528:Carcinoma, Adenoid Cystic / Q000473:pathology* / Q000532:radiotherapy / Q000601:surgery / Q000628:therapy*; D005260:Female; D006801:Humans; D018714:Radiotherapy, Adjuvant; D002583:Uterine Cervical Neoplasms / Q000473:pathology* / Q000532:radiotherapy / Q000601:surgery / Q000628:therapy*