Two patient samples (1.6%) had MSI-H signatures, and the immunohistochemical results for PD-L1 were negative in patient sample A and positive (1%) in patient sample B...a 46-year-old male with a history of HBV infection, and he was diagnosed with local advanced left lobe massive cholangiocarcinoma...After 4 cycles of pembrolizumab treatment, the tumor was deemed stable and shrank by 7%...