Orbital angiosarcoma is probably best managed with wide surgical excision, including orbital exenteration if necessary. If there is a question of residual tumor, supplemental radiotherapy should be considered. If there is diffuse involvement of the eyelids, wide-field external beam radiation therapy is the best treatment.73 The prognosis for angiosarcoma of the scalp and face seems to be poor. The 5-year survival rate of face and scalp angiosarcomas is around 12%.69 However, long-lasting remissions have been reported after total excision and external beam radiotherapy of orbital and spheno-orbital angiosarcomas.74,76
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