Adenoid Cystic Carcinoma of the Cervix: Unusual Presentation of a Rare Condition

Abstract

Primary adenoid cystic carcinoma (ACC) of the cervix is an extremely rare condition. It generally occurs in post-menopausal women with vaginal bleeding being the main presenting symptom. In the present case, a 68-year-old female came with the chief complaints of a gradual distension of abdomen and breathlessness. Clinical examination revealed a mass in the lower abdomen. Ultrasonography abdomen was suggestive of a neoplastic lesion probably arising from the uterus. Hysterectomy specimen revealed an enlarged uterus with dilated endometrial cavity, thinned myometrium, and the wall of the cervix diffusely thickened by a grayish-white infiltrative growth that had almost obliterated the endocervical canal. On histopathological examination, it was found to be a case of ACC of cervix. This case is being reported not only because of the rarity of ACC occurring in the cervix, but also because of its unusual presentation.

Keywords

• adenoid cystic carcinoma
• cervix
• histopathology