“…While it is crucial for diagnosis and treatment, determining the primary lesion remains a significant challenge. In this study, we have reviewed previous cases, including the results of immunohistochemistry, treatment modalities, and prognosis [ [5] , [6] , [7] , [8] , [9] , [10] , [12] ] ( Table 1 ). Immunohistochemical analysis of the cases reported previously exhibited similar characteristics to our case.…”