Bilateral adnexal masses in a perimenopausal female

Small cell carcinoma of the ovary is an extremely rare ovarian malignancy with an aggressive clinical course. Establishing an early and accurate clinical diagnosis is challenging, owing to the rarity and non‐specific clinical presentations. We present a case of small cell carcinoma of the ovary in a perimenopausal female, diagnosed on fine needle aspiration cytology and confirmed by immunocytochemistry.