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03 June 2024 : Case report  Thailand

Orbital Metastasis as the First Manifestation of Hepatocellular Carcinoma, and Its Effective Treatment with Combined Dual Immunotherapy: A Case Report and Review of the Literature

Unusual clinical course, Unusual setting of medical care

Jirapat Wonglhow ORCID logo1ABCDEF, Arunee Dechaphunkul1BE, Patrapim Sunpaweravong1BE, Chirawadee Sathitruangsak ORCID logo1BE, Suchaya Pajareeyaphan2BE, Panu Wetwittayakhlang ORCID logo3ACDEF*

DOI: 10.12659/AJCR.944002

Am J Case Rep 2024; 25:e944002

Figure 3. Right orbital mass pathology. (A) Histological examination revealed a tumor showing a trabecular, pseudoglandular, and solid pattern. The cytological features included atypical hepatocytes with mild pleomorphic nuclei, high nucleus-to-cytoplasm ratio, irregular nuclear membrane, prominent nucleoli, eosinophilic cytoplasm, and few mitotic figures. (B) Immunohistochemistry staining is positive for glypican-3. (C) Immunohistochemistry staining is positive for hepar-1.

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923