title: Adenoid cystic carcinoma of cervix: treatment strategy.
abstract: Adenoid Cystic Carcinoma (ACC) of cervix behaves aggressively and it has a propensity for local infiltration, invasion in lymphatic vessels as well as perineural spaces, with subsequent haematogenous spread. In advanced disease (Stage III and IV), outcome is invariably poor. Moreover, these cases have a high tendency to recur locally and also to metastasize to distant sites. There are no standard treatment protocols because of rarity of disease. The guidelines for its management are established similarly as for staged squamous cell carcinoma of cervix. Therefore, recommended treatment in advanced disease is aggressive multimodality treatment, which includes chemotherapy and radiotherapy. We are presenting a case of adenoid cystic carcinoma of cervix in 55 years old patient, staged as III B. The patient was treated with concomitant radiotherapy and chemotherapy. The patient responded well to treatment and is disease free, three years after treatment.
authors.affiliation: Associate Professor, Department of Radiotherapy, Regional Cancer Centre, Pt. BD Sharma. PGIMS , Rohtak, Haryana, India .
authors.forename: Paramjeet
authors.initials: P
authors.lastname: Kaur
authors.affiliation: Senior Resident, Department of Radiotherapy, Regional Cancer Centre, Pt. BD Sharma. PGIMS , Rohtak, Haryana, India .
authors.forename: Anil
authors.initials: A
authors.lastname: Khurana
authors.affiliation: Senior Professor, Department of Radiotherapy, Regional Cancer Centre, Pt. BD Sharma. PGIMS , Rohtak, Haryana, India .
authors.forename: Ashok K
authors.initials: AK
authors.lastname: Chauhan
authors.affiliation: Associate Professor, Department of Pathology, Pt. BD Sharma. PGIMS , Rohtak, Haryana, India .
authors.forename: Gajender
authors.initials: G
authors.lastname: Singh
authors.affiliation: Professor, Department of Pathology, Pt. BD Sharma. PGIMS , Rohtak, Haryana, India .
authors.forename: Sant Parkash
authors.initials: SP
authors.lastname: Kataria
authors.affiliation: Professor, Department of Pathology, Pt. BD Sharma. PGIMS , Rohtak, Haryana, India .
authors.forename: Sunita
authors.initials: S
authors.lastname: Singh
keywords: Adenoid cystic carcinoma; Cervical carcinoma; Chemotherapy