Cole Eye Institute, Cleveland Clinic, Cleveland, Ohio 44195, USA.
Ophthalmic Plast Reconstr Surg. 2012 May-Jun;28(3):e65-7. doi: 10.1097/IOP.0b013e3182271aae.
A 38-year-old man presented with a slow-growing, firm cutaneous mass beneath his left eyebrow. Histopathology and immunohistochemistry confirmed the diagnosis of dermatofibrosarcoma protuberans. The mass infiltrated the medial canthal tendon and anterior orbital fat and could not be completely excised with Mohs micrographic surgery. The patient underwent exenteration and dacryocystectomy with margin-controlled excision and remained free of disease 9 months after surgery. To our knowledge, no prior case of primary dermatofibrosarcoma protuberans involving the orbit has been reported.
一位 38 岁男性因左眉下缓慢生长的坚实皮肤肿块就诊。组织病理学和免疫组织化学检查确诊为隆突性皮肤纤维肉瘤。肿块侵犯内眦腱和前眶脂肪，无法通过Mohs 显微外科手术完全切除。患者接受了眼眶内容物剜除术和泪囊切除术，并进行了边缘控制切除，术后 9 个月无疾病复发。据我们所知，此前尚无原发性眼眶隆突性皮肤纤维肉瘤的病例报告。
