To report our experience with five cases of apparently isolatedsmall-vessel vasculitis of the uterine cervix.Case study of five patients with necrotizing vasculitis discoveredincidentally in surgical specimens of the female genital tract, and a review of the pertinent literature on this subject.All patients lacked clinical and serological features of the well-delineatedvasculitic syndromes. Comprehensive workup failed to yield any evidence of an underlying disorder. All patients were managed expectantly and did not develop systemic vasculitis during follow-up ranging from 6 months to 5 years.Isolated vasculitis of the female genital tract can be encounteredas an innocuous finding in otherwise healthy individuals. The cause and pathogenesis of this disorder remain obscure. Rheumatologists should be familiar with this rare and vexing form of vasculitis and with its benign prognosis.