Abstract
Neuroendocrine carcinoma of the cervix (NECC) is a rare pathological subtype of cervical cancer and patients with NECC usually develop metastasis at the time of diagnosis. While NECC commonly metastasizes to the liver, lungs, and bones, it rarely spreads to renal or peri-renal region. We report a case of a 59-year-old woman with metastatic NECC with peri-renal metastasis. After an en-bloc resection of the kidney, spleen, and distal pancreas, the pathological results suggested metastatic NECC. Further metastatic workup revealed three additional metastases in the bone, mediastinum, and axillary lymph nodes.