Adenocarcinoma of the cervix
Adenocarcinoma of the cervix is a histological sub type of carcinoma of the cervix. As a group they account for ~ 5 - 20 % of all cervical cancers. They are therefore much less common then squamous cell carcinomas of the cervix. Their proportionate prevalence is thought to be increasing and this thought to be due to being less readily detected by exfoliative cytology obtained with the Pap smear 2-3.
Pathology
As with squamous cell carcinomas, adenocarcinoma type also generally tend to arise from the squamo-columnar junction (SCJ).
Classification
There are several sub types that fall under this category and include
- clear cell carcinoma of the cervix
- endometrioid carcinoma of the cervix : ~ 7 % of adenocarcinomas
-
mucinous carcinoma of the cervix
- adenoma malignum : ~ 3 % of adenocarcinomas 2
- serous carcinoma of the cervix
- mesonephric carcinoma of the cervix
Adenocarcinomas in general (compared with squmous cell counterparts) are thought to generally give higher rates of thoracic and adrenal metastatic disease 1.

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