PMC3350277_01
CT scan of the patient showing the primary tumor in the subglottic region.
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fig1
Contrast Enhanced Computed Tomography (CECT) of neck showed growth in subglottic region, and CECT thorax and abdomen showed multiple hypodense lesions in both the lobes of liver suggestive of metastasis (Figure 1). 
Photomicrograph showing sheets of small round cells with a scant amount of cytoplasm and hyperchromatic nuclei. (H&E; x200.).
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fig2
Photomicrograph showing tumor cells positive for synaptophysin.
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fig3
Immunohistochemistry (IHC) examination showed that the tumor cells were positive for synaptophysin (Figure 3) and cytokeratin.