Abstract: Objective To explore the clinical characteristics and prognostic factors of clear cell carcinoma of the cervix(CCCC). Methods Retrospective review was conducted on twenty-eight cases of CCCC and the features of age distribution , histopathology, prognosis and related factors were observed. Results The mean age was 38.1 years (12~74 years ), ten cases (35.7%) with age less than thirty years. Ten cases (35.7%) had not given birth. No diethylstilbestrol exposure was confirmed. Patients mostly presented abnormal bleeding and vaginal discharge. Elevated ca125 was detected in 55% of patients. The stage distribution was 53.8% stageⅠ,32.1% stageⅡ,7.1% stageⅢ,and 3.8% stageⅣ. Four cases had normal cervix, two presenting endocervical neoplasm and two showing pelvic lumps. Five cases had barrel cervix. Seventeen patients had exophytic neoplasm. Surgical treatments were performed in nineteen cases among whom seven had deep cervical infiltration , one having vascular invasion, one with positive lymph node and none with parametrial invasion. After a follow-up of 33.3 months one was uncontrolled, two relapsed and one died. Patients stagingⅠorⅡ had superior five year free survival compared to the whole patients(80.8%vs74.6%). Three cases had fertility-preserving operations and none suffered recurrence after eight to fifty-four months 'follow-up. Conclusion CCCC tend to affect young patients and often presented endocervical neoplasm. The early stage CCCC patients which account for the most of the cases had favorable prognosis. Fertility-sparing treatment is applicable in selected cases.