Open AccessAdenoid Cystic Carcinoma of Cervix: Treatment Strategy
Author(s) -
Paramjeet Kaur,
Anil Khurana,
Akshansha Chauhan,
Gajender Singh,
Sant Parkash Kataria,
Sunita Singh
Publication year - 2013
Publication title -
journal of clinical and diagnostic research
Language(s) - Uncategorized
Resource type - Journals
eISSN - 2249-782X
pISSN - 0973-709X
DOI - 10.7860/jcdr/2013/5874.3623
Subject(s) - medicine , adenoid cystic carcinoma , cervix , radiation therapy , chemotherapy , stage (stratigraphy) , perineural invasion , concomitant , disease , carcinoma , oncology , radiology , surgery , cancer , paleontology , biology
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.