case_images: PMC4283353_01
case_images: Hepatocellular tumor measuring 24 cm with portal vein tumor thrombosis and satellite tumors in the right lobe.
case_images: CRIGM2014-340836.001.jpg
case_images: PMC4283353_01_CRIGM2014-340836.001.jpg
case_images: fig1
case_images: An abdominal CT scan revealed a 24-centimeter mass in his left hepatic lobe with tumor thrombosis involving the left portal vein and nodular masses in the right lobe (Figure 1).
case_images: A biopsy from a liver mass reveals a malignant neoplasm formed by large atypical polygonal cells with trabecular pattern of growth (hematoxylin and eosin, x100).
case_images: CRIGM2014-340836.002.jpg
case_images: PMC4283353_01_CRIGM2014-340836.002.jpg
case_images: fig2
case_images: Multiple liver biopsies were performed which confirmed the diagnosis of HCC but were unable to identify any underlying liver tissue (Figures 2 and 3).
case_images: Tumor cells have abundant cytoplasm, high nucleus-to-cytoplasm ratio, irregular nuclear contours, and prominent nucleoli (hematoxylin and eosin, x200).
case_images: CRIGM2014-340836.003.jpg
case_images: PMC4283353_01_CRIGM2014-340836.003.jpg
case_images: fig3
case_images: Multiple liver biopsies were performed which confirmed the diagnosis of HCC but were unable to identify any underlying liver tissue (Figures 2 and 3).