The histogenetic origin of adenosquamous carcinoma, a high-grade varia
nt of malignant epithelial neoplasm, has long been debated. We report
a case that clearly demonstrated a mucosal surface epithelial origin.
This concept was supported through histologic analysis of hematoxylin-
and eosin-stained sections, as well as by the pattern of immunohistoch
emical reactivity with antibodies directed against low and high molecu
lar weight cytokeratins, cell adhesion molecules (CAM 5.2), and carcin
oembryonic antigens. The histologic differential diagnosis, biological
behavior, and prognosis of adenosquamous carcinoma are also examined.