In this case since NEC of cervix has very dismal prognosis, I would start with cisplatin plus etoposide and consider radiation 3-4 months later, paclitaxel plus cisplatinum or in fragile patients carboplatin instead can be preferred. I recommend HPV evaluation and besides, In these type of rare situations I always suggest second pathologist's opinion.

What about surgery?

I think surgery has already been done, if not, I would suggest surgery first

Thank you doctor

I was inquiring about yhe ideal therapeutic sequence.

Surgery than followd by chemoradiation

Or chemoradiation followed by surgery.

I think first surgery then chemo and then 3-4 months later RT