What is your treatment approach for an adenoma malignum of the cervix?
7 cm tumor limited to the cervix with no vaginal or parametrial invasion on exam and not lymphadenopathy or metastatic disease on imaging. Cystoscopy and proctosigmoidoscopy were negative as well.
Answer from: Radiation Oncologist at Academic Institution
These are rare tumors, and I have treated a few, typically local recurrences after surgery. They tend not to metastasize but be locally invasive and slow growing. Given the size of the lesion, this is a case in which I would favor pre-operative RT to 45 Gray, followed by pre-op doses of brachytherap...
I would treat it like any other invasive cancer of...