Intraoral Metastasis as the Initial Manifestation of Hepatocellular Carcinoma

Ss, Akhtar; Kp, Salim; Ulhaq, Imran; Jo, Daramula

doi:10.5144/0256-4947.1996.95

Cited by 2 publications

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“…[1][2][3][4] Involvement of nasal sinuses is extremely rare. 5 We present a case report of hepatocellular carcinoma metastasis to maxillary antrum and surrounding areas (an extremely rare site).…”

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Hepatocellular Carcinoma Metastasis to Maxillary Antrum

Khayat

Gupta

1997

Ann Saudi Med

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About 1% to 3.2% of all malignant tumors involving oral cavity and surrounding areas are metastatic in nature. [1][2][3][4] Involvement of nasal sinuses is extremely rare. 5 We present a case report of hepatocellular carcinoma metastasis to maxillary antrum and surrounding areas (an extremely rare site).An 84-year-old Saudi male presented with a two-month pain and swelling of the left side of the face, which was gradually increasing in size and was associated with headache and nasal obstruction. There was no epistaxis, nausea or vomiting. He had previously beeen admitted to hospital with cardiac problems for which he had been fitted with a pacemaker two years earlier. During his previous admission a CT scan of the abdomen detected a 6x6 cm mass in the right lobe of the liver. He was diagnosed as a case of cirrhosis with hepatocellular carcinoma, and was advised to undergo liver biopsy. He refused and was subsequently lost in the follow-up process.On examination the patient had proptosis, blindness of the left eye and a fleshy mass occupying the nasal cavity, which bled on touch. The mass was pushing the left soft palate downwards and forwards with swelling over the maxillary and ethmoid sinuses. No regional lymph node was seen. There was a mass in the right hypochondrium, but abdomen and chest examinations were normal. Nolymph nodes, ascites or iaundice were detected.

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