title: [An unusual orbital metastatic lesion: the only finding in a case of hepatocellular carcinoma: case report].
abstract: Orbital metastasis of hepatocellular carcinoma is rare. We report an unusual orbital metastatic lesion as the only finding in a case of hepatocellular carcinoma. A 57-year-old man presented with a 6-month history of orbital painful right orbital mass, associated with proptosis. Computed tomography of the orbits showed an orbital soft tissue mass leading to bone erosion and intracranial invasion. Computed tomography of the abdomen showed a focal perfusion abnormality in the left lobe of the liver. Incisional biopsy was performed and the histopathologic examination of the specimen confirmed the diagnosis. The patient died 15 months after the initial presentation. COMENTS: This is a rare case of orbital metastasis of hepatocellular carcinoma. There was no another metastatic lesion and the patient reported only ophthalmological symptoms.
authors.affiliation: Setor de Orbita do Departamento de Oftalmologia da Universidade Federal de São Paulo - São Paulo (SP) - Brasil. lopesdafonseca@uol.com.br
authors.forename: Nilson Lopes da
authors.initials: NL
authors.lastname: Fonseca Júnior
authors.forename: Luciana
authors.initials: L
authors.lastname: Frizon
authors.forename: Luis
authors.initials: L
authors.lastname: Paves
authors.forename: Angela Maria Borri
authors.initials: AM
authors.lastname: Wolosker
authors.forename: Paulo Góis
authors.initials: PG
authors.lastname: Manso
mesh_terms: D006528:Carcinoma, Hepatocellular / Q000556:secondary*; D017809:Fatal Outcome; D006801:Humans; D008113:Liver Neoplasms / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D009918:Orbital Neoplasms / Q000556:secondary*