Open AccessIntraconal Metastasis Leading to Diagnosis of Hepatocellular Carcinoma
Author(s) -
Irappa Madabhavi,
Sandeep Ks,
Rahul Dharmarajan Lethika,
Satish Tumbal,
Arun T Miskin,
Malay Sarkar,
Manisha P Modi
Publication year - 2019
Publication title -
middle east journal of digestive diseases./middle east journal of digestive diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.146
H-Index - 2
eISSN - 2008-5249
pISSN - 2008-5230
DOI - 10.15171/mejdd.2020.164
Subject(s) - medicine , hepatocellular carcinoma , metastasis , pathology , orbit (dynamics) , brain metastasis , radiology , cancer , lung , biopsy , engineering , aerospace engineering
Hepatocellular carcinoma (HCC) is the commontumor of the liver and the third most common cause of cancer-related mortality worldwide. Patients with HCC may have metastasis to different sites. Intrahepatic and extrahepatic metastases are found in (~50–75%). Lung and regional lymph nodes are the most commonly involved sites. Metastasis to bone, skin, and adrenal glands are rare. Orbit metastasis and intracranial invasion are extremely rare. We are presenting a case of HCC that metastasized to the orbital cavity. The patient presented with progressive proptosis of the eyeball with retrobulbar and intracranial invasion and involvement of the sub-scalp region. Based on the imaging findings, it was initially misdiagnosed as meningioma; however, histopathological examination of the biopsy specimen resulted in a definitive diagnosis of HCC metastasis. The present case reveals that the alternative diagnosis of metastasis must be considered when diagnosing retrobulbar lesions in patients with HCC.