• Small cell cervical cancer: an unusual finding at cholecystectomy.

      Boyle, Emily; Nzewi, Emeka; Khan, Iqbal; Al-Akash, Musallam; Crotty, Paul; Neary, Paul C; Department of Surgery, Adelaide and Meath Hospital incorporating the National, Children's Hospital, Tallaght, Dublin 24, Ireland. emboyle@rcsi.ie (2012-02-01)
      BACKGROUND: Small cell carcinoma of the cervix is a rare cancer, comprising less than 3% of all cervical neoplasms. It uniformly has a poor prognosis, and has a high mortality even with early stage disease. It can metastasise rapidly and metastatic sites include lung, liver, brain, bone, pancreas and lymph nodes. CASE: Here, we report the case of a 60-year-old woman with no symptoms of cervical pathology who developed post-renal failure following a laparoscopic cholecystectomy. The cause was bilateral ureteric obstruction from metastatic small cell cervical cancer and metastases were subsequently found on her gallbladder specimen. CONCLUSION: This is an unusual presentation of small cell cervical cancer and demonstrates the aggressive nature of this disease.