Adenocarcinoma of the Uterine Cervix

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Background: Adenocarcinoma of the uterine cervix is an increasingly common cervical neoplasm that has received little attention in the primary care literature. The purpose of this paper is to describe an illustrative case that provides an excellent opportunity to review the symptoms, diagnostic pitfalls, treatment options, and prognosis of this important disease. Methods: Case report is described, along with results of a literature review using MEDLINE and pertinent references from retrieved articles. Results: The relative incidence of cervical adenocarcinoma has risen from 5 to 10 percent of all cervical neoplasms in the 1950s to 10 to 20 percent in recent series. Some studies have also reported an increasing absolute incidence linked to widespread oral contraceptive use. The diethylstilbestrol-associated clear-cell variant accounts for only 2 to 3 percent of cases. About 10 percent of patients have only a nonbloody vaginal discharge. Cervical adenocarcinoma might be more easily missed on a Papanicolaou smear than squamous cell dysplasia and cancer, and it has no characteristic colposcopic appearance. The prognosis is excellent with early detection. Conclusions: Family physicians should maintain a high index of suspicion for cervical adenocarcinoma when symptoms suggest this disease regardless of Papanicolaou smear results.

Original languageEnglish (US)
Pages (from-to)36-42
Number of pages7
JournalJournal of the American Board of Family Practice
Volume10
Issue number1
StatePublished - 1997
Externally publishedYes

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Cervix Uteri
Adenocarcinoma
Papanicolaou Test
Uterine Cervical Neoplasms
Vaginal Discharge
Squamous Cell Neoplasms
Diethylstilbestrol
Incidence
Family Physicians
Oral Contraceptives
MEDLINE
Primary Health Care
Therapeutics

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Adenocarcinoma of the Uterine Cervix. / Jerant, Anthony F.

In: Journal of the American Board of Family Practice, Vol. 10, No. 1, 1997, p. 36-42.

Research output: Contribution to journalArticle

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