An Unusual Case of Intraparotid Facial Nerve Schwannoma

By: Dr. Jay Anam
Authors: D Belekar, V Dewoolkar, A Desai, A Desai, M Parab
Journal: Internet journal of surgery
Start: January 1, 2010


Hepatocellular carcinoma (HCC) causes about 1 million deaths each year worldwide. The patients usually present at an advanced stage when the growth is irresectable as there are no early presenting symptoms.

Extrahepatic metastases of HCC occur in approximately 37% of patients. Common sites of hematogenous metastatic spread include the lungs, intra-abdominal organs, bones, adrenals, lymph nodes, peritoneum and, rarely, skeletal muscle. Together, spread of disease to the bones and muscle account for approximately 16% of all metastases. HCC metastases are found primarily with advanced disease.

Anterior abdominal wall metastasis is known to occur after laparoscopy and as a result of needle tract implantation after percutaneous biopsy. However, primary anterior abdominal wall metastasis is extremely rare.We would like to present such an unusual case of hepatocellular carcinoma with anterior abdominal wall metastasis.

An Unusual Case of Intraparotid Facial Nerve Schwannoma
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