Stage, pelvic node metastasis, parametrial involvement, DSI, and LVSI were independent prognostic factors for cervical adeno-adenosquamous carcinoma.
Adjuvant therapy after radical surgery significantly improved survival for node-positive but not for node-negative high-risk group.
Prospective studies with prognostic score and nodal status stratification for high-risk cervical adeno-adenosquamous carcinoma are necessary.