Villoglandular carcinoma: A rare manifestation of cervical adenocarcinom with good prognosis. Case report and review of the literature

Villoglandular carcinoma of the cervix was first described in 1989 by Young and Scully. The case of a 45-year-old patient is presented. She was withou t symptoms, and cytological screening did not reveal any abnormality. Diagn osis was made through colposcopic biopsy. Cone biopsy with subsequent modif ied radical hysterectomy and pelvic lymph node dissection was performed. A review of the literature revealed 71 cases of villoglandular carcinoma of t he cervix. These appear to have a favorable prognosis, as long as coexistin g squamous carcinoma or adenocarcinoma of the cervix have been excluded by cone biopsy. In these women, cone biopsy as the sole method of treatment ma y be considered to preserve fertility. In all other cases, hysterectomy sho uld be performed.