What Is Your Diagnosis? Angiosarcoma Arising in the Eyelid

An 83-year-old man presented with left upper eyelid ptosis and painless left periorbital swelling of 9 months’ duration following facial trauma. He initially had been treated with oral antibiotics and steroid-antibiotic ointment without improvement. The affected eyelids and medial canthus displayed a purple to yellow discoloration.