A case of metastatic orbital tumor revealing hepatocellular carcinoma.

Introduction. - We report a case of metastatic orbital tumor revealing hepa tocellular carcinoma. Exegesis. - Metastatic orbital tumors of hepatocarcinoma are rare. Only six cases have been reported. We compare these cases to our observation. Treat ment of the orbital metastasis is important to decrease pain, ophthalmologi cal symptoms and to improve the quality of survival. Radiotherapy and/or su rgery can be used. Prognosis for life depends on liver involvement: the mod alities of treatment of the hepatocarcinoma have to be discussed for each p atient. Conclusion. - Seven cases of orbital metastasis revealing a hepatocarcinoma have been documented. Effectiveness of radiotherapy makes the local progno sis good, but prognosis depends on liver involvement, since prognosis of he patocellular carcinoma is poor. (C) 2000 Editions scientifiques et medicale s Elsevier SAS.