Angiosarcoma Presenting with Minor Erythema and Swelling |
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| Authors: | Catherine A Cox Richard O Wein Roya Ghafouri Nora M Laver Katrinka L Heher Mitesh K Kapadia |
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| Institution: | aDepartment of Ophthalmology, Tufts Medical Center, Mass., USA;bDepartment of Otolaryngology, Tufts Medical Center, Mass., USA;cDepartment of Pathology, Tufts Medical Center, Mass., USA;dDepartment of Ophthalmology, Boston Medical Center, Boston, Mass., USA |
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| Abstract: | A 76-year-old man presented with slowly progressive swelling in his forehead and left upper eyelid over the course of three months. CT scanning showed non-specific enhancement of subcutaneous tissues, suggesting a low-grade cellulitis. Poor response to treatment prompted an MRI, which revealed the presence of a soft tissue lesion. Biopsy of this lesion was positive for angiosarcoma. The patient underwent chemotherapy and radiation, but unfortunately succumbed to his malignancy eight months later. This case illustrates a rare example of facial/periorbital angiosarcoma, a benign-appearing but aggressive tumor associated with a high incidence of mortality. A review of the literature and current treatment options are discussed.Key words: Tumor, Eyelid edema, Angiosarcoma, Eyelid cancer |
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