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KMID : 0338420010160040270
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The Korean Journal of Internal Medicine
2001 Volume.16 No. 4 p.270 ~ p.273
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A Case of Primary Adenosquamous Carcinoma of the Liver Presented with Liver Abscess
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Hong Sik Lee/Oh Sang Kwon
Hong Sik Lee/Dong Wook Koh/Young Jig Cho/Yeon Ho Park/Dong Kyu Park/Yong Leul Oh/Jae Hong Seo/Hoon Jai Chun/Sun Ho Um/Sang Woo Lee/Jai Hyun Choi/Chang Duck Kim/Ho Sang Ryu/Jin Hai Hyun/Ae Ree Kim*/Yong Sik Kim*
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Abstract
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Primary adenosquamous carcinoma of the liver is a very rare type of cholangiocarcinoma and is defined as a cancer containing both squamous and adenomatous components in the same lesion. Recently, we experienced a primary adenosquamous carcinoma of the liver presented as liver abscess. A 63-year-old man was presented with a 4-day history of fever and chill. The radiologic study showed a 4 cm-sized, central hypoattenuated mass with peripheral rim enhancement in the left lobe of the liver. Ultrasonography-guided aspiration and biopsy suggested an adenocarcinoma with abscess in the liver. At laparotomy, the tumor occupied the left lobe of the liver and invaded the right diaphragm. An extended left lobectomy and a partial excision of the involved diaphragm were done. Grossly, the tumor was 6×5×5 cm in size and had an eccentric necrosis. Microscopically, the tumor was composed of adenocarcinoma and squamous cell carcinoma with a transitional area.
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KEYWORD
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Carcinoma, Adenosquamous, Abscess, Liver,
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