Severe Anemia with Hemoperitoneum as a First Presentation for Multinodular Hepatocellular Carcinoma: A Rare Event in Western Countries

Figure 4

(a) H & E section (40x) shows the background normal liver cells showing mild to moderate portal triaditis and interface hepatitis (grade II) with most portal area infiltrated by many lymphocytes and few plasma cells as typical for hepatitis C. There is mild to moderate septal fibrosis that appears to be periportal and portal-portal (stage II). (b) H & E section (10x) shows multinodular hepatocellular carcinoma with fibrosis around the individual nodules. (c) H & E section (40x) shows poorly differentiated nature of the hepatocellular carcinoma with surrounding significant lymphocytic reaction.

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