Aim. To
estimate a 5- and 10-year survival according to age, and death-risk-associated
factors, in a cohort of women diagnosed with cervical adenocarcinoma treated in
the National Cancer Institute(INCA) in Brazil. Methods. A retrospective prognostic study was carried out in a
hospital-based cohort of women diagnosed with cervical adenocarcinoma and
treated in the Hospital of Cancer-II/INCA. From Jan/1999 to Dec/2012, 1060
women were included. Five- and 10-year survival curves were estimated by the
Kaplan-Meier method. Differences between survival curves were assessed by log-rank
test(IC95%). Prognostic factors were assessed by the Proportional Cox
Regression semi-parametric method. The 95%CI for crude and adjusted Hazard
Ratios were estimated by the Wald test. Results. Five-year survival was 45.4%, ranging from
62.6% among women aged 18-44 to 40.1% among 56+ years old. A 10-year specific
survival was 50.1%, ranging from 61.6% in women aged 18-44-yr/o to 39.8% in
those > 56-yr. Compared to women aged 45-55 years old, those with 18-44
years old presented a 25% higher death risk (95%CI:0.95-1.64) in 5 years, while
those aged 56+ years old presented a 49% higher death risk in 10 years. Stage
II (HR:1.67; IC95%:1.17-2.40),
III (HR:3.10;95%CI:2.12–4.55), and IV (HR:3.03;95%CI:1.71–5.36), Grade-3 (HR:1.65;95%CI:1.21–2.27),
Chemotherapy only/no-treatment (HR:3.13;95%CI:1.98–4.95),
and 3-4 pregnancies (HR:0.73;95%CI:0.55-0.96) were independently associated
with death-risk in 5 years. Ten-years death-risk was statistically associated
with Stage II (HR:2.35; IC95%:1.41–3.92), III (HR:5.69;95%CI:3.26–9.92), and IV (HR:5.93; 95%CI:2.49-14.11), Grade-3 (HR:2.13; 95%CI:1.37–3.32),
Chemotherapy only/no-treatment (HR:3.85;95%CI:1.96–7.54),
without a partner (HR:1.50;95%CI:1.12–2.10),
and non-white skin color (HR:1.43;95%CI:1.08–1.91).
Conclusion. Despite the lack of statistical
significance, women aged 18-44 years seemed to present a 25% worse prognosis in
5 years than women aged 45-55 years, but in 10 years those 56+ years presented
a worse prognosis. Besides Stage, grade, and treatment, women with 3-4
pregnancies were protected against death in 5 years, while lack of a partner
and non-white skin color increased death risk in 10 years.