Early-stage, high-grade neuroendocrine cervical carcinoma.

A 37-year-old woman presented to an outside institution in November 2015 with at least a 1-year history of heavy vaginal bleeding, anemia, and chronic pelvic pain. She had a past medical history of arrythmia, asthma, seizures, and obesity (body mass index 38.9 kg/m2). Her surgical history included