Adenocarcinoma villoglandular de cérvix

Villoglandular adenocarcinoma of the uterine cervix is a rare neoplasm, with histological and clinical features that distinguish it from other types of cervical adenocarcinomas. Until 1994, this entity was not included with the cervical carcinoma classification of the World Health Organization. The prognosis of this tumor is favorable and consequently treatment should be conservative as far as possible if the patient wishes to preserve fertility. Microscopic findings are typical and include exophytic growth, papillary surface and small-to-moderate nuclear atypia. We describe four cases of villoglandular adenocarcinoma, one of which showed aggressive progression.