|Primary mucoepidermoid carcinoma (MEC) is a very uncommon tumor in uterine cervix. Most has been introduced in the salivary gland, but this tumor can arise from other organs. Primary MEC in the cervix is morphologically similar to that of the salivary gland. We experienced one case of primary cervical MEC of 44-year-old women. The cancerous mass was found in the anterior lip of the cervix without any extension. The radical hysterectomy, right salpingoophorectomy and pelvic lymphadenectomy by laparoscopic method were performed. On pathologic reports, tumor was suggested to be MEC of the cervix, International Federation of Gynecology and Obstetrics stage IB1 without risk factors. We had decided to observe closely without adjuvant therapy. But multiple metastases including local and distant sites were noted 4 months after the primary surgery. We decided to start concurrent chemoradiation with paclitaxel-carboplatin. But she expired after 19 months of primary surgical treatment. We report this case with the brief review.