Fibro-histiocitoma maligno da pálpebra: relato de caso

Dias, Ana Carolina Toledo; Pereira, Luciano de Sousa; Sameshima, Lílian Midori; Reis, Frederico Augusto Costa; Filho, José Vital

doi:10.1590/s0004-27492009000100023

Cited by 2 publications

(1 citation statement)

References 16 publications

(25 reference statements)

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“…Previously reported eyelid MFH did not show a tendency of location at the eyelid (upper eyelid, medial, and lateral canthus). [2,3] In the previous case report series, all cases underwent local excision as initial treatment and additional wide resection with adjuvant radiotherapy were used for subsequent local recurrence. [3] While all of these cases were high grade and had local recurrence, it is notable that no patient has died as a result of the tumor until several years after operation.…”

Section: Discussionmentioning

confidence: 99%

Aggressively progressing primary undifferentiated pleomorphic sarcoma in the eyelid

Choi

Hwang²,

Kim³

et al. 2017

Medicine

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Rationale:Undifferentiated pleomorphic sarcoma is extremely rare in the head and neck area, and the aggressive nature of this tumor has not been previously described.Patient concerns:Therefore, we report a unique case of a very rapidly growing primary undifferentiated pleomorphic sarcoma in the eyelid. A 67-year-old woman presented with a left lower lid mass. She had no previous history of surgery, skin malignancy, or radiation to the eyelid. On initial presentation, the patient showed a 2 × 1 × 1 cm firm, yellow nodule in the left lower eyelid.Diagnoses:We planned complete surgical removal of the mass; however, the patient was lost to follow-up. One month after the initial visit, the mass had markedly enlarged to 3 × 2.2 × 2.3 cm and a new 2 × 2 × 2 cm mass was observed in the left lower eyelid.Interventions:Complete surgical resection of the tumor was performed with a myocutaneous free flap. At that time, two masses were emerged, which had grown to 8 × 8 × 5 cm.Outcomes:The patient died from sepsis caused by pneumonia 2 months after surgery without evidence of local recurrence.Lessons:Primary undifferentiated pleomorphic sarcoma in the eyelid is extremely rare. Surgeons should be aware of this abruptly presenting, rapidly growing primary eyelid tumor and it is essential to excise the tumor completely as soon as possible.

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Section: Discussionmentioning

confidence: 99%

Aggressively progressing primary undifferentiated pleomorphic sarcoma in the eyelid

Choi

Hwang²,

Kim³

et al. 2017

Medicine

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Malignant fibrous histiocytoma masquerading as pyogenic granuloma

Gounder

Lam

Vinciullo³

et al. 2017

Orbit

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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.

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Fibro-histiocitoma maligno da pálpebra: relato de caso

Cited by 2 publications

References 16 publications

Aggressively progressing primary undifferentiated pleomorphic sarcoma in the eyelid

Aggressively progressing primary undifferentiated pleomorphic sarcoma in the eyelid

Malignant fibrous histiocytoma masquerading as pyogenic granuloma

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