Objective: To describe a case of a small cell neuroendocrine tumour of the cervix. Case report: a 46 year old lady was diagnosed with an infiltrative high grade small cell neuroendocrine adenocarcinoma which was infiltrating the uterus, after she presented with unprovoked vaginal bleeding. Surgery was done successfully, after which she was referred for chemotherapy. Discussion: MR imaging was essential in staging the tumour. It is also important to appreciate the rarity of such a diagnosis and the intricacies of its management Conclusion: A multidisciplinary approach in such cases is essential, as well as appropriate counselling of the patient.
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