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Interesting Case of the Month - (IGHP, ICOM) - August

august 2025

Clinical History-

67-year-old malewithabdominal pain and features of acute enteritis. AFP- normal, Serology- for viral markers negative.

From the images below identify the likely disease?

Radiology-

USG-
Liver showed a solitary mass measuring 3.0 x 2.8 cm. Adjacent liver tissue showed heterogenous liver parenchyma.

Microscopic Images-

Microscopic examination showed a population of atypical cells with clear cytoplasm.

Immunohistochemistry-

Immunohistochemistry performed showed the clear cells are diffusely positive for Arginase and Glypican 3

Diagnosis-

Steatohepatitic Hepatocellular Carcinoma
Adrenal Cell Carcinoma
Cholangiocarcinoma
Clear Cell Hepatocellular Carcinoma