Combined epithelial and sarcomatous elements in a liver cancer associated with oral contraceptive use

A rare mixed malignant hepatic tumor in a 35-year-old woman is presented. Hepatic enlargement regressed and became stable for 3 years after contraceptive pills were discontinued. Exacerbation began 3 months prior to admission, at which time there was a spontaneous rupture of the tumor; this resulted in the death of the patient.