Orbital Metastasis as the First Manifestation of Hepatocellular Carcinoma, and Its Effective Treatment with Combined Dual Immunotherapy: A Case Report and Review of the Literature

Jirapat Wonglhow; Arunee Dechaphunkul; Patrapim Sunpaweravong; Chirawadee Sathitruangsak; Suchaya Pajareeyaphan; Panu Wetwittayakhlang

doi:10.12659/AJCR.944002

03 June 2024 : Case report Thailand

Orbital Metastasis as the First Manifestation of Hepatocellular Carcinoma, and Its Effective Treatment with Combined Dual Immunotherapy: A Case Report and Review of the Literature

Unusual clinical course, Unusual setting of medical care

Jirapat Wonglhow

^1ABCDEF, Arunee Dechaphunkul^1BE, Patrapim Sunpaweravong^1BE, Chirawadee Sathitruangsak

^1BE, Suchaya Pajareeyaphan^2BE, Panu Wetwittayakhlang

^3ACDEF*

DOI: 10.12659/AJCR.944002

Am J Case Rep 2024; 25:e944002

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Figure 4. Multiphasic computed tomography of liver. Computed tomography shows an arterial-enhancing nodule with venous washout in hepatic segment 5 (green arrow) measuring approximately 1.2×1.6 cm. This finding is consistent with typical hepatocellular carcinoma in early cirrhosis. (A) Plain phase. (B) Arterial phase. (C) Venous phase. (D) Delayed phase.

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Orbital Metastasis as the First Manifestation of Hepatocellular Carcinoma, and Its Effective Treatment with Combined Dual Immunotherapy: A Case Report and Review of the Literature

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