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OPHTHALMIC IMAGE
Year : 2021  |  Volume : 1  |  Issue : 1  |  Page : 6

Beware of the bruise: Eyelid and periocular cutaneous angiosarcoma


Ophthalmic Plastic Surgery Service, L V Prasad Eye Institute, Hyderabad, Telangana, India

Date of Web Publication31-Dec-2020

Correspondence Address:
Dr. Tarjani V Dave
Ophthalmic Plastic Surgery Service, L V Prasad Eye Institute, Hyderabad - 500 034,, Telangana
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_1536_20

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How to cite this article:
Dave TV, Wagh RD, Mishra DK. Beware of the bruise: Eyelid and periocular cutaneous angiosarcoma. Indian J Ophthalmol Case Rep 2021;1:6

How to cite this URL:
Dave TV, Wagh RD, Mishra DK. Beware of the bruise: Eyelid and periocular cutaneous angiosarcoma. Indian J Ophthalmol Case Rep [serial online] 2021 [cited 2021 Apr 14];1:6. Available from: https://www.ijoreports.in/text.asp?2021/1/1/6/305489



A 55-year-old immunocompetent gentleman underwent biopsy for an indurated purplish eyelid and facial lesion with a nodulo-ulcerative forehead component [Figure 1]a. On histopathology, infiltration of skin and muscle with atypical spindle cells having pleomorphic nuclei and scant cytoplasm [Figure 1]b that stained positive for CD31 [Figure 1]c and CD34, with a high Ki-67 index, were noted suggestive of cutaneous angiosarcoma. The patient received external beam radiotherapy and systemic chemotherapy [Figure 1]d. Angiosarcoma is a cancer of the blood vessels of the skin giving a bruise-like appearance. Facial angiosarcoma has a 5-year locoregional control rate of 53% and a 5-year survival rate of 26%.[1]
Figure 1: (a) An indurated purplish eyelid and facial lesion with a nodulo-ulcerative forehead component (b) On histopathology, infiltration of skin and muscle with atypical spindle cells having pleomorphic nuclei and scant cytoplasm (c) tCD31 and CD34 positive staining, with a high Ki-67 index (d) patient after receiving external beam radiotherapy and systemic chemotherapy

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Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

This study is supported by a research grant from the Hyderabad Eye Research Foundation.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Moon IJ, Kim YJ, Won CH, Chang SE, Lee MW, Choi JH, et al. Clinicopathological and survival analyses of primary cutaneous angiosarcoma in an Asian population: Prognostic value of clinical features of skin leasins. Int J Dermatol 2020;59:582-9.  Back to cited text no. 1
    


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