•The case presented is that of a primary debulking surgery for presumed ovarian cancer.•Final pathology revealed diffusely metastatic endocervical adenocarcinoma.•After primary chemotherapy, the patient has remained disease-free 30 months after surgery.
Keywords: Cervical adenocarcinoma; Chemotherapy; Debulking; Metastasis; Metastatic cervical adenocarcinoma; Surgery.