ANGIOSARCOMA OF THE EYELID

Background: Angiosarcomas are uncommon malignant tumours of vascular e ndothelium. They frequently affect the face and scalp, but to our know ledge there are only three reports of eyelid involvement. Methods/resu lts: We report a case of angiosarcoma arising from the eyelid skin in a 79-year-old woman. Treatment was surgical with wide excision and sta ged reconstruction of the defect. Systemic oncological work-up for met astatic disease was negative. Adjuvant systemic chemotherapy and radio therapy 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. Mana gement is wide surgical excision, although adjuvant systemic therapy s hould be considered in selected cases in consultation with an oncologi st.