Combined hepatocellular-cholangiocarcinoma is a rare form of primary liver cancer showing features of both hepatocellular and biliary epithelial differentiation. We report here on a case with collision tumor, which apparently was the coincidental occurrence of both hepatocellular carcinoma and cholangiocarcinoma underlying schistosomiasis. A 39-year-old-Philippine female was transferred to our hospital for evaluation of a liver mass that was found on ultrasonography at a local hospital. HBsAg and Anti-HCV were negative and serum alpha-fetoprotein (AFP) level was normal. The tumor mass was histologically diagnosed as adenocarcinoma by sono-guided biopsy before the operation. Partial lobectomy was performed and we histologically identified the concurrent occurrence of hepatocellular carcinoma and cholangiocarcinoma, (a "collision type carcinoma").
Adenocarcinoma/diagnosis/pathology/surgery ; Adult ; Carcinoma, Hepatocellular/*diagnosis/pathology/surgery ; Cholangiocarcinoma/*diagnosis/pathology/surgery ; Female ; Humans ; Schistosomiasis/*physiopathology

AIMTo evaluate the effect of Schistosoma intercalatum infestation on the testicular function of mice.

METHODSMale BALB C mice were infested by immersion of the tail and hind feet into the water with 50 or 100 cercariae of Cameroon strain S. intercalatum. Sixty days later the animals were killed, blood was collected and the testis, epididymis and seminal vesicles were dissected and weighed. The plasma and testicular testosterone were evaluated with radioimmunoassay, the seminal vesicular fructose with colorimetric method, and the histology of testis and cauda epididymis observed under light microscope. The intensity of infestation was estimated in terms of S. intercalatum egg load in the liver.

RESULTSIn infested mice, the testicular weight did not change significantly while the epididymal and seminal vesicular weights were significantly lowered compared to the controls. Furthermore, the fructose levels in the seminal vesicle fluid were significantly (P<0.01) reduced in about 50% of infested mice. S. intercalatum infestation also decreased the plasma and testicular testosterone concentrations. Histological studies indicated that the spermatogenesis, the testicular interstitial tissue and the cauda epididymis were qualitatively normal. Parasite eggs were not found in these organs. The mean seminiferous tubular diameter did not show significant differences between the infested and control mice.

CONCLUSIONS. intercalatum infestation impairs testicular function.

Animals ; Epididymis ; pathology ; Fructose ; metabolism ; Liver ; parasitology ; Male ; Mice ; Mice, Inbred BALB C ; Organ Size ; Parasite Egg Count ; Schistosoma ; Schistosomiasis ; blood ; physiopathology ; Seminal Vesicles ; metabolism ; pathology ; Testicular Diseases ; parasitology ; Testis ; metabolism ; pathology ; Testosterone ; blood ; metabolism