This is an uncommon variant of cervical carcinoma which, like lung small cell, is usually systemic in spread and has lower 5-year survival. All patients need urgent chemotherapy +/- radiotherapy to the pelvis +/- para-aortic regions to try to improve both local and systemic control. Definitive surgery is not recommended, and urgent referral is advised.

 

Prophylactic cranial irradiation is not recommended for small cell carcinoma of cervix.