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Large Cell Neuroendocrine Carcinoma of the Uterine Cervix With a Biphasic Synaptophysin Staining Pattern and Followed Vaginal Intraepithelial Recurrence: A Case Report

Shinji Toyoda

Corresponding Author

Shinji Toyoda

Department of Obstetrics and Gynecology, Nara Prefecture General Medical Center, Nara, Japan

Correspondence:

Shinji Toyoda ([email protected])

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Kohei Morita

Kohei Morita

Department of Diagnostic Pathology, Nara Prefecture General Medical Center, Nara, Japan

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Fuminori Ito

Fuminori Ito

Department of Obstetrics and Gynecology, Nara Prefecture General Medical Center, Nara, Japan

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Emiko Niiro

Emiko Niiro

Department of Obstetrics and Gynecology, Nara Prefecture General Medical Center, Nara, Japan

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Makiko Taniguchi

Makiko Taniguchi

Department of Obstetrics and Gynecology, Nara Prefecture General Medical Center, Nara, Japan

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Toshiyuki Sado

Toshiyuki Sado

Department of Obstetrics and Gynecology, Nara Prefecture General Medical Center, Nara, Japan

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First published: 25 July 2025

Funding: The authors received no specific funding for this work.

Graphical Abstract

This case highlights the importance of early, aggressive surgery for large cell neuroendocrine carcinoma and continuous cytological monitoring in detecting recurrence at the early intraepithelial stage. The pagetoid spread pattern with a biphasic synaptophysin staining differentiated LCNEC from CIN3 and AIS.

Conflicts of Interest

The authors declare no conflicts of interest.

Data Availability Statement

The data that support the findings of this study are available from the corresponding author upon reasonable request.

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