case_images: PMC10481988_01
case_images: (a) Gigantic tumor extending to nose, cheek, and forehead from periocular area. (b) Axial computed tomography of orbits shows heterogeneous soft tissue mass with irregular borders extending from the frontal region to the maxilla and invading the left orbit
case_images: JCO-35-100-g001.jpg
case_images: PMC10481988_01_JCO-35-100-g001.jpg
case_images: joco_314_22-f001
case_images: At presentation, on external examination, a giant hemorrhagic tumor spreading from the periocular region to the nose, cheek, and forehead region was observed [Figure 1a]. Computed tomography of the orbit revealed a heterogeneous soft-tissue mass with irregular borders in the left hemifacial region, starting from the frontal region, invading the left orbital fossa, and extending to the maxilla [Figure 1b].
case_images: (a) Significant regression of tumor with crusts following 3 cycles of chemotherapy. Arrow indicates purulent secretion. (b) The view of the periocular region after the crusts were removed. Arrow indicates the eyelid margin with eyelashes laterally. (c) Postoperative day 1 after separation of the upper and lower eyelids
case_images: JCO-35-100-g002.jpg
case_images: PMC10481988_01_JCO-35-100-g002.jpg
case_images: joco_314_22-f002
case_images: Widespread yellow-brown crusts and purulent discharge between the crusts were observed in the area where the tumor regressed [Figure 2a]. The eyelid margin with eyelashes was observed in a very small area laterally [Figure 2b]. Surgical dissection was continued from that area, and the upper and lower lid margins were separated from each other [Figure 2c].
case_images: (a) Cicatricial ectropion caused by secondary intention healing on postoperative week 8. (b) Two months after cicatricial ectropion repair with skin graft
case_images: JCO-35-100-g003.jpg
case_images: PMC10481988_01_JCO-35-100-g003.jpg
case_images: joco_314_22-f003
case_images: On postoperative week 8, cicatricial ectropion caused by secondary wound healing of the lower eyelid became more pronounced and caused lagophthalmos [Figure 3a]. The lower lid position was satisfactory on postoperative month 2 [Figure 3b].