2014 Volume 75 Issue 2 Pages 510-515
We report a case of a primary adenosquamous carcinoma of the liver. A 54-year-old woman was admitted to our hospital complaining of jaundice. Serum concentrations of CEA, CA19-9, SCC, and CYFRA21-1 were markedly elevated, although AFP and PIVKA-II levels were within the normal range. Abdominal CT showed a 7-cm region of low density with peripheral enhancement in the right lobe of the liver. The tumor was suspected to be an adenosquamous carcinoma, and an extended right hepatectomy was performed. Pathologically, the resected tumor was diagnosed as primary adenosquamous carcinoma of the liver. Although the early postoperative course was uneventful, tumor recurrence occurred in the residual liver, and the patient died of cancer 17 months after the operation.