Abstract: Objective: To investigate the prognostic factors of cervical adenocarcinoma. Methods:Sixty-three cases of cervical adenocarcinoma in Tianjin Cancer Hospital from January 1980 to January 2000 were analyzed retrospectively, including 17 patients of stage, 33 stage and 13 stage. Twenty cases were given radiotherapy and 43 patients were administered for surgery and radiothery. Most of the patients with stage Ⅰ+Ⅱ were treated by radical hysterectomy and pelvic lymphadenectomy, preoperative radiotherapy was given for some patients. Results: The percentage of cervical adenocarcinoma increased from 3.5% to 7.36% in last two decades. Overall 5 year survival rate was 56.9% (33/63-5), while 5-year survival rate of stage, and was 82.3%, 54.5% and 7.7%, respectively(P<0.05). The 5-year survival rate for cervical lersion≥4cm, <4cm and with or without hysterectomy was 34.3% versus 60.7%(P<0.05) and 80% versus 39.3%(P>0.05). Conculsions: There is an increasing prevalence of invasive cervical adenocarcinoma. The prognostic factors of cervical adenocarcinoma were stage and bulky disease. Multidisciplinary treatments including radical surgery are the mainstay of treatment for cervical adenocarcinoma.