A Case of Metastatic Hepatocellular Carcinoma in Sphenoid Sinus with Intractable Nasal Bleeding Controlled by Radiation Therapy

Abstract

We report a case of metastasis of hepatocellular carcinoma (HCC) into an isolated sphenoid sinus cavity presenting with intractable nasal bleeding. A 62-year-old man who diagnosed with HCC, visited our department with recurrent nasal bleeding for a month. Endoscopic examination and imaging demonstrated a homogeneous enhancing solid mass in the right sphenoid sinus. Although several anterior nasal packing was performed, epistaxis of oozing pattern persisted. Eventually, nasal bleeding was successfully controlled after palliative radiation therapy.