The patient underwent palliative radiation of pelvis for local pain control and then chemotherapy. Although the vaginal tumor increased in size even after radiation, her symptoms were under control and she was doing well for a short period of time. [ncbi.nlm.nih.gov]

is very rare. [4] Patients with small cell carcinoma of female genital tract may be asymptomatic but usually present with localized pain, vaginal bleeding, abdominal bloating or a mass. [cancerjournal.net]

[…] neuroendocrine carcinoma of the vagina with coexistent atypical vaginal adenosis: A rare entity 1 Department of Pathology, Rajiv Gandhi Cancer Institute and Research Centre, Sector-5 Rohini, Delhi, India 2 Department of Pathology, MVID Hospital, Kingsway Camp [cancerjournal.net]

On chest and abdominal examination the patient had bilateral pleural effusion, hepatomegaly and ascites. CT and ultrasound ( figure 4 ) revealed a heterogeneous mass that measured 5 4.8 4.5 cm located in the anterior vaginal wall. [ncbi.nlm.nih.gov]