Metastatic hepatocellular carcinoma in the nasal vestibule

March 24, 2013
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Rhinoscopic Clinic

Extrahepatic metastasis is a major independent predictor of a poor prognosis in patients with HCC.

A 45-year-old man with hepatocellular carcinoma (HCC) presented with a gradually enlarging, painless mass on the left side of the nasal vestibule of 1 month's duration. He had undergone hepatic lobectomy and chemotherapy for the HCC 3 years previously. Abdominal lymph nodes and lung metastasis had been found on regular follow-up 1 year previously. He had refused further evaluation and management and was being treated with complementary and alternative medicine.

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