A case of primary small cell carcinoma of the liver that was treated with chemotherapy.
Primary small cell carcinoma (SSC) of the liver is very rare in Japan and only ten cases have been reported worldwide. We report herein the case of a 77-year-old man with primary SCC of the liver. He had a tumor over 10 cm in diameter which was localized in the right lobe of the liver and had invaded the right diaphragm. In laboratory tests, high serum levels of lactate dehydrase and neuron-specific enolase were observed. A biopsy specimen showed that the tumor cells were similar in cytology to a pulmonary SCC. The patient was first treated with carboplatin and etoposide according to the therapy protocol for pulmonary SCC and then with a regimen using etoposid and cisplatinum, resulting in an unfavorable outcome. We discuss the clinical course and therapy of extra-pulmonary SCC and review the literature of the cases previously reported.
Morikawa
Hiroyasu
H
Department of Hepatology, Graduate School of Medicine, Osaka City University, 1-4-3, Asahimachi, Abeno, Osaka, 545-8585, Japan.
Nakayama
Yuji
Y
Maeda
Takako
T
Nadatani
Yuji
Y
Kobayashi
Sawako
S
Iwai
Shuji
S
Enomoto
Masaru
M
Tamori
Akihiro
A
Sakaguchi
Hiroki
H
Oshitani
Nobuhide
N
Kudoh
Shinzoh
S
Kawada
Norifumi
N