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眼眶内癌瘤多为眼睑、鼻窦及邻近组织癌瘤浸润所致,由内脏转移者少见。本文报告一例肝细胞癌眶内转移病例,并复习文献共5例。本例为男性,56岁,主诉右眼球突出、视力下降8个月,肝大质硬。CT检查右眼眶外侧、眶尖及右颅中窝有肿物阴影,上颌窦后壁部分骨质破坏,与眼科共同手术切除肿物,因喷射状出血肿物未能彻底切除。病理检查疑为肝细胞癌,术后因肝功不全、腹水等故高度怀疑弥漫性肝细胞癌,经化疗及眼部放疗,病变未能控制,眼部出现症状后7个月肝昏迷死
Orbital cancer mostly eyelid, sinus and adjacent tissue cancer caused by infiltration, rare by visceral metastasis. This article reports a case of hepatocellular carcinoma orbital metastases, and review the literature a total of 5 cases. This case for men, 56 years old, the main complaint of the right eye prominent, vision loss for 8 months, liver quality hard. CT examination of the right orbital, lateral orbital apex and right cranial fossa with tumor shadow, part of the bone wall of maxillary sinus destruction, and ophthalmology resection of the tumor, due to jet-like hematoma failed to completely remove. Pathological examination suspected of hepatocellular carcinoma, postoperative due to liver failure, ascites and so the high degree of suspicion of diffuse hepatocellular carcinoma, chemotherapy and ophthalmic radiation therapy, the disease failed to control the symptoms of the eye after 7 months coma