Advanced adenoid cystic carcinoma of the cervix: a case report and review of the literature.
BACKGROUND
Adenoid cystic carcinoma is a malignant epithelial neoplasm derived from the salivary glands. Primary adenoid cystic carcinoma of the cervix is extremely rare, accounting for less than 1% of all cervical carcinomas. In this paper we report a case of primary adenoid cystic carcinoma and a review of the related literature.


METHODS
A 68 year-old woman was admitted with signs and symptoms suggestive of a cervical cancer. The radiological and pathological investigations confirmed the diagnostic of primary adenoid cystic carcinoma of the cervix at Stage IIIB according to the International Federation of Gynaecology and Obstetrics classification. The patient was managed successfully by concurrent chemo-radiotherapy.


CONCLUSIONS
The optimal management of adenoid cystic carcinoma cannot be established for certain. From our case and from the literature, it appears that combined treatment (surgery, radiotherapy, and chemotherapy) is necessary for achieving a long-term remission. Concurrent chemo-radiotherapy appears to be a logical option for locally advanced disease.
Elhassani
Lalla Kawtar
LK
Department of Medical Oncology, National Institute of Oncology, Agdal/Riad, Rabat-10000, Morocco. elhassani_k@yahoo.fr
Mrabti
Hind
H
Ismaili
Nabil
N
Bensouda
Youssef
Y
Masbah
Ouafae
O
Bekkouch
Imane
I
Hassouni
Khalid
K
Kettani
Fouad
F
Errihani
Hassan
H