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KMID : 1103920040100030228
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Korean Journal of Hepatology
2004 Volume.10 No. 3 p.228 ~ p.232
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Extrahepatic Metastasis of Hepatocellular Carcinoma to the Nasal Cavity Manifested as Massive Epistaxis: A Case Report
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유성재/Yoo SJ
천재희/이상원/정유석/이상현/박중원/홍은경/김창민/Cheon JH/Lee SW/Jung YS/Lee SH/Park JW/Hong EK/Kim CM
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Abstract
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Extrahepatic metastasis of hepatocellular carcinoma (HCC) is not infrequently found during the later stage, regarding that the autopsy report described its prevalence to be up to 50%. The most frequent sites are known to be the abdominal lymph nodes, lung and bone. However, metastasis to the nasal cavity and paranasal sinuses has been seldom reported, and to out knowledge, there is no Korean report describing extrahepatic metastasis of HCC to these sites. Recently we experienced a case of extrahepatic metastasis of HCC to the nasal cavity in a 50 year-old man with massive epistaxis refractory to conservative treatment. He was found to have a mass of soft tissue attenuation occupying the right nasal cavity at CT, which was biopsy-proven as metastatic HCC. Epistaxis was successfully treated by transcatheter arterial embolization.
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KEYWORD
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