Carcinoma of the colon with synchronous hepatic metastasis in a cirrhotic liver harboring a hepatocellular carcinoma

Tumor metastasis to a cirrhotic liver is rare. It has been suggested that c olorectal cancer does not metastasize to the cirrhotic liver. We reported a 65 year-old man, a known carrier of hepatitis B surface antigen, diagnosed to have hepatocellular carcinoma with routine screening. A partial hepatec tomy with resection of segments VI and VII was performed. The hepatectomy s pecimen revealed a 4.5cm diameter HCC in a cirrhotic liver. Incidentally, 0 .8cm diameter ulcer at the descending colon. Histological examination of th e left hemicolectomy specimen showed a moderately differentiated adenocarci noma.