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Malignant fibrous histiocytoma masquerading as pyogenic granuloma
Pavindran Gounder1, Minh Lam2, Carl Vinciullo3
1a Department of Ophthalmology , Royal Perth Hospital , Perth , Australia.
Abstract:
A 68-year-old gentleman presented with a lesion that resembled a pyogenic granuloma in his inferior fornix. The lesion was excised and biopsy demonstrated a proliferation of malignant spindle cells. Three weeks following initial excision, the lesion recurred and was removed via wedge excision of the eyelid. Definitive clearance was achieved through Mohs micrographic surgery. The patient received adjuvant postoperative radiotherapy and remains disease-free. This case demonstrates the need to consider sinister pathology in the setting of recurrent periocular lesions.
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