Histological analysis of the resected tumor specimen. (A) Carcinomatous component base. The tumor cells were irregular and pleomorphic, which can be observed in karyokinesis and necrosis tissues (HE stain; magnification, ×200). (B) Sarcomatoid component base. The morphology of the tumor cells is varied, with the main form being immature and round or spindle-shaped cells. Certain cells possessed an indistinct cell boundary (HE stain; magnification, ×200). Immunohistochemical staining of the resected tumor specimen demonstrating positive expression of (C) creatine kinase (++), (D) epithelial membrane antigen (+), (E) vimentin (++) and (F) Ki-67 (++; 90%). HE, hematoxylin and eosin; (+), weakly positive staining (3–24% cells positively stained); (++), strongly positive staining (25–49% cells positively stained).