Bilateral Multiple Extraocular Muscle Metastasis from Hepatocellular Carcinoma

Hepatocellular carcinoma (HCC) rarely metastasizes to the extra ocular muscles (EOMs). We present a case of bilateral metastasis of HCC to the EOMs and focus on the magnetic resonance imaging (MRI) features. Orbital MRI revealed nodular enlargement of bilateral multiple EOMs, with isointensity on T1...

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Main Authors: Hong Jiang, Zhenchang Wang, Junfang Xian, Likun Ai
Format: Article
Language:English
Published: SAGE Publishing 2012-02-01
Series:Acta Radiologica Open
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author Hong Jiang
Zhenchang Wang
Junfang Xian
Likun Ai
author_facet Hong Jiang
Zhenchang Wang
Junfang Xian
Likun Ai
author_sort Hong Jiang
collection DOAJ
description Hepatocellular carcinoma (HCC) rarely metastasizes to the extra ocular muscles (EOMs). We present a case of bilateral metastasis of HCC to the EOMs and focus on the magnetic resonance imaging (MRI) features. Orbital MRI revealed nodular enlargement of bilateral multiple EOMs, with isointensity on T1-weighted images and heterogeneous, intermediate-to-high signal intensity on T2-weighted images, and showed mild-to-significant heterogeneous contrast enhancement with gadolinium. Physicians should be aware of this rare cause of EOM enlargement, understand the radiologic characteristics of EOM metastasis, and thus make appropriate treatment strategy.
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spelling doaj.art-8ccc459315cc4b2e8eb6b52bbbb1704e2022-12-22T01:53:43ZengSAGE PublishingActa Radiologica Open2058-46012058-46012012-02-01111310.1258/arsr.2011.11000210.1258_arsr.2011.110002Bilateral Multiple Extraocular Muscle Metastasis from Hepatocellular CarcinomaHong JiangZhenchang WangJunfang XianLikun AiHepatocellular carcinoma (HCC) rarely metastasizes to the extra ocular muscles (EOMs). We present a case of bilateral metastasis of HCC to the EOMs and focus on the magnetic resonance imaging (MRI) features. Orbital MRI revealed nodular enlargement of bilateral multiple EOMs, with isointensity on T1-weighted images and heterogeneous, intermediate-to-high signal intensity on T2-weighted images, and showed mild-to-significant heterogeneous contrast enhancement with gadolinium. Physicians should be aware of this rare cause of EOM enlargement, understand the radiologic characteristics of EOM metastasis, and thus make appropriate treatment strategy.
spellingShingle Hong Jiang
Zhenchang Wang
Junfang Xian
Likun Ai
Bilateral Multiple Extraocular Muscle Metastasis from Hepatocellular Carcinoma
Acta Radiologica Open
title Bilateral Multiple Extraocular Muscle Metastasis from Hepatocellular Carcinoma
title_full Bilateral Multiple Extraocular Muscle Metastasis from Hepatocellular Carcinoma
title_fullStr Bilateral Multiple Extraocular Muscle Metastasis from Hepatocellular Carcinoma
title_full_unstemmed Bilateral Multiple Extraocular Muscle Metastasis from Hepatocellular Carcinoma
title_short Bilateral Multiple Extraocular Muscle Metastasis from Hepatocellular Carcinoma
title_sort bilateral multiple extraocular muscle metastasis from hepatocellular carcinoma
work_keys_str_mv AT hongjiang bilateralmultipleextraocularmusclemetastasisfromhepatocellularcarcinoma
AT zhenchangwang bilateralmultipleextraocularmusclemetastasisfromhepatocellularcarcinoma
AT junfangxian bilateralmultipleextraocularmusclemetastasisfromhepatocellularcarcinoma
AT likunai bilateralmultipleextraocularmusclemetastasisfromhepatocellularcarcinoma