 Hello and good afternoon to one and all. My name is Dr. Mohammad Salem. I'm a second year PG resident in the department of radio diagnosis, JNMC Aligur. And the topic of today's presentation is actually a rare case of cervical neuroendocrine tumor. So a bit about introduction, primary or secondary neuroendocrine tumors of the female genitalia are rare. And among these gynecological neuroendocrine tumors, cervical small cell carcinoma and ovarian carcinoids are the most common. As far as uterine neuroendocrine tumors are concerned, extremely few cases of uterine neuroendocrine tumors have been reported. The reported endometrial neoplasms with neuroendocrine differentiation essentially include small cell carcinoma and endometrial carcinoma with neuroendocrine cells. So they have an n more incidence of about seven in a leg and they're a very heterogeneous group of neoplasms derived from the neuroepoderm neural crest and the endoderm. So no starting off with the case discussion. So this was a 65-year-old female who came with complaint of postmenopausal bleeding and lower abdominal pain. For the past four months, she had no other comorbidities. On examination, her vitals were stable. Per abdomen, it was soft tender and no mass was palpable. Per vaginal examination showed bulky uterus with polypoidal growth in the cervix, which is blood on touch. So moving on to the imaging findings, her MRI showed bulky uterus with a heterogeneously enhancing legion in the cervix with a restricted diffusion. However, no evidence of any perimetrial involvement was noted. So we have the few MRI images here. The first image is an axial T2-weighted and the second is an axial pre-contrast T1-weighted image in which we can see that there is a heterogeneous legion involving the cervix region. This is an oblique T2-weighted image and we see that there is no significant involvement of the perimetrium here. There is mild post-contrast enhancement as we can see in the second image. So here we have a diffusion weighted image in which we can see that the legion involving the cervix is actually showing diffusion restriction, which we can confirm on the ADC. So these were non-specific imaging findings really, as far as mass of cervix was concerned. So the patient further went on to have a histopath and histopath on microscopy revealed tumor composed of sheets of oval to round cells having eucenophilic cytoplasm and a high MC ratio. Focal pseudo-rosates, pepillary pattern and peripheral palisading is seen. On histopathology, large cell neuroendocrine carcinoma was confirmed. Immunohistochemistry had positive markers for synaptophysin and EMA. And the stage was given as the T1B with no nodal or metastatic deposit. So this was the case. Now coming on to discussion. Neuroendocrine tumors of uterus and cervix are quite rare. One of the common site of neuroendocrine tumors in the gynaecological tract is the cervix. And these cervical neuroendocrine new plasms are classified into cervical neuroendocrine tumors and high-grade cervical neuroendocrine carcinomas based on the KI67 and the mitotic index. The small cell variant is the most common variant, roughly about 80% among the cervical neuroendocrine new plasms, followed by large cell variant, as was in our case, and differentiated cervical neuroendocrine tumors. Only a few cases of low-grade cervical neuroendocrine tumors have been reported in the literature. Neuroendocrine carcinomas may also coexist with adenocarcinomas or famous cell carcinoma, and the clinical behavior of such cases is determined by the neuroendocrine component. These were the references that were used. Thank you.