Undifferentiated Carcinoma of the Liver with Neuroendocrine Features: A Case Report

Hidekazu Nakasuka, Shuichi Okada, Takuji Okusaka, Hiroshi Ishii, Masahumi Ikeda, Ryoji Ito, Hiroki Kosakamoto, Masayoshi Yoshimori, Yukihiro Nakanishi, Michiie Sakamoto

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12 Citations (Scopus)


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 languageEnglish
Pages (from-to)401-404
Number of pages4
JournalJapanese journal of clinical oncology
Issue number6
Publication statusPublished - 1998
Externally publishedYes


  • Liver cancer
  • Neuroendocrine marker
  • Neuron-specific enolase
  • PVP therapy
  • Undifferentiated carcinoma

ASJC Scopus subject areas

  • Oncology
  • Radiology Nuclear Medicine and imaging
  • Cancer Research


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