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Case Reports
. 2012 May;5(2):439-43.
doi: 10.1159/000342006. Epub 2012 Aug 9.

Primary small cell neuroendocrine carcinoma of the endometrium

Affiliations
Case Reports

Primary small cell neuroendocrine carcinoma of the endometrium

Lisa N Abaid et al. Case Rep Oncol. 2012 May.

Abstract

Background: Small cell neuroendocrine carcinoma is very rarely encountered within the endometrium.

Case study: A patient underwent a hysterectomy and salpingo-oophorectomy for a suspicious gynecologic condition. Pathology revealed invasive small cell neuroendocrine carcinoma of the endometrium; the neoplasm exhibited positive immunoreactivity for synaptophysin, pancytokeratin and CD56 but was negative for CD3 and CD20. Prior to chemotherapy, a completion lymphadenectomy was indicated to determine the presence of nodal metastases.

Conclusion: The prognosis of small cell neuroendocrine carcinoma of the endometrium is unfavorable but prompt detection with surgery and adjuvant therapy may confer a better clinical outcome.

Keywords: Endometrium; Gynecologic oncology; Small cell neuroendocrine carcinoma.

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Figures

Fig. 1
Fig. 1
a At low power (40× magnification), the tumor shows infiltration through the myometrial muscle (overall, endometrium and inner/outer myometrium involved). b At high power (400× magnification), the tumor cells are discohesive and pleomorphic and associated with abundant apoptotic debris; numerous mitotic figures are also identified.
Fig. 2
Fig. 2
a–c Immunostains exhibit diffuse positivity for two neuroendocrine markers, synaptophysin (400× magnification) (a) and CD56 (400× magnification) (b), and variable positivity for pancytokeratin (400× magnification) (c).

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