2015 Volume 108 Issue 11 Pages 859-863
Metastatic hepatocellular carcinoma in the sinonasal region is rare. We report the case of an 85-year-old man who presented to us with a history of recurrent nasal bleeding. A reddish and hemorrhagic tumor was found in the right nasal septum. Histopathological examination of a biopsy specimen of the tumor revealed metastatic hepatocellular carcinoma. The patient had been diagnosed as having hepatocellular carcinoma many years ago and received multiple sessions of transcatheter arterial chemoembolization. Computed tomography and magnetic resonance imaging showed a slightly enhancing soft-tissue mass measuring 10 mm in diameter in the right nasal septum. We resected the metastatic hepatocellular carcinoma in the right nasal septum by endoscopic surgery under local anesthesia to control the recurrent nasal bleeding, and this treatment improved the quality of life of the patient. The postoperative course was uneventful, and until now, eight months since the surgery, the patient has shown no evidence of recurrence.