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Cutaneous angiosarcoma with eyelid involvement

K Gündüz¹, J A Shields, C L Shields

¹Oncology Service, Wills Eye Hospital, Philadelphia, Pennsylvania 19107, USA.

American Journal of Ophthalmology

|June 30, 1998

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Angiosarcoma is a rare and aggressive skin cancer affecting the eyelid, often presenting as bruise-like lesions. Despite radiotherapy, this angiosarcoma case showed poor prognosis with metastasis and eventual death.

Area of Science:

Dermatology
Oncology
Ophthalmology

Background:

Angiosarcoma is a rare malignant vascular tumor.
Eyelid skin angiosarcoma is exceptionally uncommon.
Early diagnosis is crucial for patient outcomes.

Observation:

An 82-year-old male presented with multiple maculopapular lesions, nodules, and edema on the face and eyelids.
Biopsy confirmed cutaneous angiosarcoma.
The tumor affected the central facial area, including the eyelids.

Findings:

The patient received radiotherapy (5,000 cGy) with partial tumor regression.
Post-treatment, extensive lymphedema developed.
Metastases to the parotid gland and bone were identified, leading to death within 3 months.

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Implications:

Cutaneous angiosarcoma has a poor prognosis, even with treatment.
It should be included in the differential diagnosis for eyelid tumors and edema.
Facial and eyelid presentations can be the primary manifestation of this aggressive cancer.