title: Metastatic and recurrent adenocarcinoma of the uterine cervix: a long-term survival of 16 years.
abstract: OBJECTIVE
  Recurrent metastatic adenocarcinoma of the cervix is associated with an extremely poor prognosis. Treatment options for recurrent disease are limited and cure is extremely rare.
  
  
  METHODS
  We report a case of a 43-year-old patient with Stage IB adenocarcinoma of the cervix. She had multiple metastatic recurrence episodes salvaged with several radical surgeries, external and intraoperative irradiation, and chemotherapy over a survival period of 16 years.
  
  
  CONCLUSIONS
  We conclude that long-term multi-modal salvage treatment may achieve longer survival in rare cases with recurrent metastatic adenocarcinoma of the cervix.
authors.affiliation: Obstetrics and Gynaecology Department, De La Mujer Women's Hospital/Virgen Del Rocio University Hospital, Seville, Spain. iperegrina@sego.es
authors.forename: I
authors.initials: I
authors.lastname: Peregrin-Alvarez
authors.forename: M N
authors.initials: MN
authors.lastname: Akl
authors.forename: C P
authors.initials: CP
authors.lastname: Morrow
authors.forename: J F
authors.initials: JF
authors.lastname: Magrina
mesh_terms: D000230:Adenocarcinoma / Q000401:mortality / Q000556:secondary / Q000628:therapy*; D000328:Adult; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D009364:Neoplasm Recurrence, Local / Q000401:mortality / Q000628:therapy*; D002583:Uterine Cervical Neoplasms / Q000401:mortality / Q000473:pathology / Q000628:therapy*