Key result
Surgical wide excision and staged reconstruction were used to treat a 79-year-old woman with eyelid angiosarcoma, who died seven months later from a myocardial infarct.
Case Report (n=1)
Angiosarcoma should be considered in the differential diagnosis of unusual eyelid lesions and managed with wide surgical excision.
Eyelid angiosarcoma may warrant inclusion in atypical lesion differentials; single cases leave optimal management and prognosis open.
BACKGROUND: Angiosarcomas are uncommon malignant tumours of vascular endothelium. They frequently affect the face and scalp, but to our knowledge there are only three reports of eyelid involvement. METHODS/RESULTS: We report a case of angiosarcoma arising from the eyelid skin in a 79-year-old woman. Treatment was surgical with wide excision and staged reconstruction of the defect. Systemic oncological work-up for metastatic disease was negative. Adjuvant systemic chemotherapy and radiotherapy were considered but were not felt to be of proven benefit and were not used. The patient died seven months after presentation from a myocardial infarct. CONCLUSION: Angiosarcoma should be considered in the differential diagnosis of unusual or atypical eyelid lesions. Management is wide surgical excision, although adjuvant systemic therapy should be considered in selected cases in consultation with an oncologist.
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Bray et al. (1995) conducted a case report in Angiosarcoma of the eyelid (n=1). Surgical wide excision and staged reconstruction was evaluated. Surgical wide excision and staged reconstruction were used to treat a 79-year-old woman with eyelid angiosarcoma, who died seven months later from a myocardial infarct.
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