}  Small cell carcinoma of the cervix is a rare and a very aggressive tumour.

}   Once being considered to be a rare type of squamous cell carcinoma, evidence has proven that most of the tumours express one or more markers of neuroendocrine differentiation.

}   The behaviour of this rare malignancy is different from that of squamous cell carcinomas, with a high propensity for nodal and distant metastases. Hence, there is a need to highlight this histopathological entity.

}  A 67–year–old woman presented to the cancer Out Patients Department with intermittent lower abdominal pain which was there since past six months.

}   The pain was dragging in nature and it increased over the past two weeks. Patient also complained of low backache. Her past history and family history were uneventful.

}   Per vaginal examination revealed a bulky cervix with foul smelling scanty discharge.

}  Cervical smears for cytological examination was taken and found suspicious of undifferentiated carcinoma, which was followed by cervical biopsy for histopathological examination