Cutaneous angiosarcoma presenting as bilateral periorbital edema.
Orbit
; 42(6): 621-623, 2023 Dec.
Article
em En
| MEDLINE
| ID: mdl-35467482
ABSTRACT
A 66-year-old man presented with chronic bilateral periorbital edema with associated yellowish hue, scattered violaceous smooth macules and contracture of the forehead. He had undergone dental surgery 3 months prior to symptom onset. Laboratory workup for common causes of eyelid edema was unremarkable and MRI of the orbits was unrevealing. The patient did not respond to oral corticosteroids or antibiotics. Punch biopsies were obtained which revealed atypical lymphatic endothelial cells consistent with a diagnosis of cutaneous angiosarcoma.The patient was deemed not to be a surgical candidate and underwent 3 cycles of immunotherapy with limited response. He declined further treatment and transitioned to hospice care. Although cutaneous angiosarcoma uncommonly involves the periorbital region, it should be considered in the differential diagnosis of eyelid edema as early recognition and treatment are critical to prevent rapid intradermal spread and metastases.
Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Neoplasias Cutâneas
/
Hemangiossarcoma
Limite:
Aged
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Humans
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Male
Idioma:
En
Revista:
Orbit
Ano de publicação:
2023
Tipo de documento:
Article
País de afiliação:
Estados Unidos