“…In series analyses of neuroendocrine carcinomas, SCCTs have been observed to comprise 4.5-30.2% of all carcinoid tumours. 1,9,14,22,26 Clinically, SCCTs are peripherally located asymptomatic tumours showing clinical behaviour ranging from extremely indolent 8,9,16,21,23 to more aggressive 10,13 than non-spindle cell carcinoid tumours. Histologically, SCCTs are arranged in a vague organoid pattern with sharply circumscribed borders and are composed of elongated spindle cells with scant to moderate amounts of cytoplasm and poorly defined cell borders.…”