Adenosquamous carcinomas of the colorectum are rare neoplasms. Our experien
ce with two cases is presented in this paper. One patient, who complained o
f bloody stool, was found to have adenocarcinoma in the sigmoid colon. He r
eceived a laparoscopy-assisted sigmoidectomy. The histological examination
revealed that the tumor was adenosquamous carcinoma. To date, he has surviv
ed six months post operatively without evidence of recurrence. The other pa
tient, who complained of anal bleeding, was found to have rectal adenocarci
noma and received a low anterior resection. Histological examination reveal
ed that the tumor was an adenosquamous carcinoma. He remains alive, with no
evidence of recurrence, nine years post operatively. Both cases showed par
acolic lymph node metastasis. Because of its very low incidence, the histog
enesis, malignancy and prognosis of this disease remain unclear. Thus, furt
her clinical and histological study of this disease entity is required.