title: Malignant fibrous histiocytoma masquerading as pyogenic granuloma.
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.
authors.affiliation: a Department of Ophthalmology , Royal Perth Hospital , Perth , Australia.
authors.forename: Pavindran
authors.initials: P
authors.lastname: Gounder
authors.affiliation: b Department of Pathology , Royal Perth Hospital , Perth , Australia.
authors.forename: Minh
authors.initials: M
authors.lastname: Lam
authors.affiliation: c Oxford Day Surgery & Dermatology , Perth , Australia.
authors.forename: Carl
authors.initials: C
authors.lastname: Vinciullo
authors.affiliation: d Lions Eye Institute , Perth , Australia.
authors.forename: Jean-Louis
authors.initials: JL
authors.lastname: de Sousa
mesh_terms: D000368:Aged; D001706:Biopsy; D003131:Combined Modality Therapy; D003937:Diagnosis, Differential; D017789:Granuloma, Pyogenic / Q000175:diagnosis*; D051677:Histiocytoma, Malignant Fibrous / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D008297:Male; D015580:Mohs Surgery; D013508:Ophthalmologic Surgical Procedures; D009918:Orbital Neoplasms / Q000175:diagnosis* / Q000628:therapy; D018714:Radiotherapy, Adjuvant
keywords: Eyelid lesion; malignant fibrous histiocytoma; periocular malignancy; pyogenic granuloma