Orbital metastasis of hepatocellular carcinoma: a case report.

BACKGROUND Hepatocellular carcinoma is one of the commonest malignancies in Nigeria, however metastasis to the orbit is a rare presentation. OBJECTIVE To present a rare case of orbital metastasis of hepatocellular carcinoma. CASE REPORT A 25-year-old man presented with a 3-month history of pain, progressive swelling and burred vision of the right eye. Examination revealed marked proptosis of the right eye with reduced visual acuity and conjunctival chemosis. The liver was enlarged, hard and nodular. Hepatocellular carcinoma and orbital metastasis were histologically confirmed. CONCLUSION Metastatic hepatocellular carcinoma should be considered in the differential diagnosis of patients presenting with orbital tumours.