IHC testing for biomarker differences between these rare tumor subtypes showed high rates of TOP2A (100 % of SCCO patients, 92 % of SCCO-HT patients and 69 % of NET-O patients) in all 3 subtypes of neuroendocrine cancers of the ovary, implicating the use of topoisomerase inhibitors as rationale treatment options. Here, TOP2A is linked to neoplasm.