Abstract
A 64-year-old man had been followed up because of alcoholic liver injury. Multiple liver tumors were detected on abdominal computed tomography (CT) and abdominal ultrasonography (US) and he was admitted to our hospital. There were three tumors. The tumors in S3 and S6 werer enhanced but the tumor in S8 was not enhanced on dynamic CT. Fine needle biopsy of the S8 tumor of the liver revealed adenocarcinoma. Left lateral segmentectomy and partial resections of S4, S5, S6, and S8 were performed. Pathological examination revealed double primary liver cancer of hepatocellular carcinoma (S3, S6) and intrahepatic cholangiocarcinoma (S4, S5, S6, S8). Lung metastasis and cervical lymph node metastasis were found 20 months after the operation. Though we performed chemotherapy, this patient died 3 months later. Concomitant hepatocellular carcinoma and intrahepatic cholangiocarcinoma is rare. We report a very rare case of double cancer without hepatic C virus and B virus infection.
