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[Hepatocellular carcinoma: a case revealed by metastatic orbital tumor]
1Service d'ophtalmologie, centre hospitalier national d'ophtalmologie des Quinze-Vingts, Paris, France.
Introduction:
We report a case of metastatic orbital tumor revealing hepatocellular carcinoma.
Exegesis:
Metastatic orbital tumors of hepatocarcinoma are rare. Only six cases have been reported. We compare these cases to our observation. Treatment of the orbital metastasis is important to decrease pain, ophthalmological symptoms and to improve the quality of survival. Radiotherapy and/or surgery can be used. Prognosis for life depends on liver involvement: the modalities of treatment of the hepatocarcinoma have to be discussed for each patient.
Conclusion:
Seven cases of orbital metastasis revealing a hepatocarcinoma have been documented. Effectiveness of radiotherapy makes the local prognosis good, but prognosis depends on liver involvement, since prognosis of hepatocellular carcinoma is poor.