Japanese Journal of Clinical Oncology, Vol 28, Issue 6 401-404, Copyright © 1998 by Foundation for Promotion of Cancer Research
H Nakasuka, S Okada, T Okusaka, H Ishii, M Ikeda, R Ito, H Kosakamoto, M Yoshimori, Y Nakanishi and M Sakamoto
Undifferentiated carcinoma of the liver is very rare. A 54-year-old man was
admitted to our hospital for a detailed examination of multiple liver
tumors. These tumors were high or low echoic on ultrasonography, but not
enhanced by contrast medium in dynamic computed tomography. A fine-needle
aspiration biopsy specimen of the tumor showed undifferentiated carcinoma.
The serum level of neuron-specific enolase was high (357 ng/ml) and the
immunohistochemical stain of the biopsy specimen was positive for
synaptophysin. We diagnosed the patient as having undifferentiated
carcinoma of the liver with neuroendocrine features. The patient was
treated with combined systemic chemotherapy: etoposide 100 mg/m2/day for
three days plus cisplatin 80 mg/m2/day on day one. He achieved a partial
response, the duration of which was 7+ months. The serum neuron-specific
enolase levels were decreased to the normal range after chemotherapy.
Primary liver carcinoma with neuroendocrine features is extremely rare, but
in a suspicious case it is important to measure the serum levels of
neuroendocrine markers and make a histological confirmation, because
chemotherapy may be effective for this disease.
ORIGINAL ARTICLE
Undifferentiated carcinoma of the liver with neuroendocrine features: a case report
Department of Internal Medicine, National Cancer Center Hospital, Tokyo, Japan.
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