Report of Three Resected Cases of Adenosquamous Carcinoma of the Liver

Kaori Shigemitsu, Tetsushige Mimura, Yoshihiro Akazai, Yasuhisa Okamoto, Koutaro Toda, Hideyuki Kimura, Toshinori Ohara, Nobumasa Tsutsui, Shuhei Hirose, Kazuo Kataoka

Department of Surgery, Okayama Saiseikai General Hospital

Adenosquamous carcinoma of the liver is the rare disease, and few resected cases have been reported in the world wide literature. We experienced three resected cases of adenosquamous carcinoma of the liver, and in this paper, we discussed the clinical and pathological features. The case 1 was a 57-year-old woman. We performed left lobectomy and the size of resected tumor was 15×13.5×9 cm. She died in recurrence 4 months later. The case 2 was 74-year-old woman. We performed left and caudal lobectomy. The size of resected tumor was 7×7×5 cm. She died in reccurence 11 weeks later. The case 3 was 68-year-old man. We performed extended right lobectomy and caudal lobectomy, and co-resected a part of the common bile duct and portal vein. The resected tumor was 4×3 cm in size, and he died in bone metastasis 3 months later. Adenosquamous carcinoma of the liver has tends to grow more rapidly and to develop lymph node metastasis frequently. Thus its prognosis is very poor and it is difficult to treat this disease. Further studies would be mandatory for its improveemnt of prognosis.

Key words
hepatocellular carcinoma, adenosquamous carcinoma of the liver

Reprint requests
Kaori Shigemitsu Department of Surgery, Okayama Saiseikai General Hospital
1-17-18, Ifukucho, Okayama, 700 JAPAN

Accepted
December 6, 1995

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