The present study reports 4 patient cases with extrapulmonary small cell carcinoma (EPSCC). The patient and disease-related characteristics are summarized in the “CASE PRESENTATION SECTION”. Radiologic images of the four cases are illustrated in the figure attached (A: Case 1; B: Case 2; C &D: Case3; D: Case 4) .

Treatment for each case is presented in the “TREATMENT MODALITY SECTION” . Case Presentation: Characteristics Case 1 Case 2 Case 3 Case 4 Age 61 55 62 56 Gender Male Female Male Female Duration of Symptoms (Months)   2   3   4   5 Symptoms Dysphagia, odynophagia Foreign-body sensation throat Bleeding episodes from oral cavity, dysphagia, odynophagia Retrosternal pain, anorexia, dysphagia, weight loss Smoking Yes Yes Yes Yes   Eastern Cooperative Oncology Group Score       1     1     1     2 Clinical Examination Bilateral level II lymph nodes; proliferative growth base of the…