Imprint smear from the ulcer showed mainly necrosis and few cells with high nucleocytoplasmic ratio
Peripheral blood neutrophils  are showed striking dysplastic  features, which included detached nuclear fragments, acquired Pelger-Huet anomaly chromatin clumping, neutrophils with strangely shaped nuclei, and a high nucleocytoplasmic ratio
The epithelium within this pseudopapillary lesion showed an increased nucleocytoplasmic ratio
, round large nuclei, and prominent nucleoli (Figure 1, B).
Important cytological criteria useful in distinguishing HCC from non-neoplastic liver are increased nucleocytoplasmic ratio
, arrangement of tumor cells in trabecular pattern and atypical naked hepatocytic nuclei.