Trichia HJ, et al. – This study strived to illustrate the cytological features of a very rare and lethal ovarian neoplasm occurring in the young. The small cell carcinoma of the ovary diagnosis appeared to be challenging even histologically. Cytology was extremely valuable for hematoxylin–eosin sections both pre– or intraoperatively. The data assisted the cytopathologists to get more acquainted with the cytological features of this rare tumor entity, particularly in relation to a characteristic clinical profile.