title: Angiosarcoma presenting with minor erythema and swelling.
abstract: 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.
authors.affiliation: Department of Ophthalmology, Tufts Medical Center, Mass., USA.
authors.forename: Catherine A
authors.initials: CA
authors.lastname: Cox
authors.forename: Richard O
authors.initials: RO
authors.lastname: Wein
authors.forename: Roya
authors.initials: R
authors.lastname: Ghafouri
authors.forename: Nora M
authors.initials: NM
authors.lastname: Laver
authors.forename: Katrinka L
authors.initials: KL
authors.lastname: Heher
authors.forename: Mitesh K
authors.initials: MK
authors.lastname: Kapadia
keywords: Angiosarcoma; Eyelid cancer; Eyelid edema; Tumor