In about 2% of malignancies , small cell carcinoma is diagnosed in female genital tract1.Cervical small cell carcinoma and ovarian carcinoids are the most prevalent gynaecological NE tumors 2.Small cell nueroendocrine carcinoma (SCNET)of female genital tract is aggressive in nature and is similar to cancer arising from the bronchus We report  a very rare  case of 63-year-old hysterectomized woman , who presented  to gynecology OPD at Dr. RPGMC Tanda, with  complain of postmenopausal bleeding, hematuria, and dyschezia. She had undergone total abdominal hysterectomy with bilateral salpingophorectomy for AUB 11 yr back at our institute. Diagnosis of small cell neuroendocrine ca of vault was made with tissue biopsy and IHC. Imaging studies were done to asses the extent of disease . The patient underwent six cycles of chemotherapy and 16 cycles of external radiotherapy , leading to complete regression of the lesion. To the best of our knowledge, very few NE tumor of the vault has been reported.

Dr. Pragya Tiwari completed her MBBS from MGM Indore and is currently pursuing an MD at RPGMC Kangra (Tanda).