Angiosarcoma Presenting with Minor Erythema and Swelling

• Main Authors: Catherine A. Cox, Richard O. Wein, Roya Ghafouri, Nora M. Laver, Katrinka L. Heher, Mitesh K. Kapadia
• Format: Article
• Language: English
• Published: Karger Publishers 2013-04-01
• Series: Case Reports in Ophthalmology
• Subjects: Tumor; Eyelid edema; Angiosarcoma; Eyelid cancer
• Online Access: http://www.karger.com/Article/FullText/346952

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.