Methods Were selected 80 cases of women with endocervical adenocarcinomas FIGO IB to IIIB from 1988-2015, 39 treated with radiotherapy followed by hysterectomy and isolated radiotherapy for 41. Disease-free interval (DFI) and overall survival (OS) were analysed using Kaplan-Meier curves and log-rank test. Results There was no difference in OS between the groups (P=0.579) or in the DFI (p=0.963). It was observed that the DFI in patients with residual disease was lower, however without statistical significance (P=0.072). Recurrences were observed in 9/39 patients of the hysterectomy group and 10/41 patients of the isolated radiotherapy group. Residual disease in the hysterectomy group was associated with a higher rate of local and distance recurrence (P=0.028). Conclusions There were no differences in recurrence rates, disease-free interval, and overall survival among the groups, although the detection of residual disease in the hysterectomy was associated with a higher occurrence of recurrences. The findings do not support the routine hysterectomy in women previously irradiated in endocervical adenocarcinoma.