LIPOSARCOMA OF THE ORBIT - A MANAGEMENT CHALLENGE

A previously healthy 35-year-old man was experiencing slowly progressi ve, painless proptosis of the right eye. Visual function was normal, b ut supraduction was limited. Computed tomography revealed a superior, extraconal orbital mass. Subtotal excision was performed, and a diagno sis of liposarcoma was rendered only with expert analysis. Despite sub sequent orbital exenteration and postoperative radiation, a local recu rrence developed 5 years later. The clinical features that predict rec urrence, and management options that may promote longevity, are discus sed.