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Case Reports in Otolaryngology
Volume 2015, Article ID 856134, 4 pages
http://dx.doi.org/10.1155/2015/856134
Case Report

Undiagnosed Hepatocellular Carcinoma Presenting as Nasal Metastases

Department of Otorhinolaryngology and Head & Neck Surgery, Hamad Medical Corporation, P.O. Box 3050, Doha, Qatar

Received 18 October 2015; Revised 26 October 2015; Accepted 26 October 2015

Academic Editor: Abrão Rapoport

Copyright © 2015 Hassen Mohammed et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Hepatocellular carcinoma (HCC) is a primary malignancy of the liver with up to half of cases suffering from extrahepatic metastasis in the later stages of the disease. Commonly reported and encountered metastatic sites include the lymph nodes, lung, bone, and adrenal glands. This is an effort to throw a spotlight on a rare case of metastatic HCC which presented to us as two distinct lesions in the nose. It focuses on the presentation and the steps that were taken to reach this rare and unusual diagnosis. It sparks interest from a clinical and histopathology perspective. Our cynosure is the findings of the case coupled with a probe on the possible routes of spread of HCC to sinonasal region.