SARCOMA OF EYELID:  METAPLASIA OF LEIOMYOSARCOMA TO ROUND CELL SARCOMA AFTER REPEATED ATTEMPTED EXCISIONS

In 1927, Stanowsky¹ collected sixty-five cases from the literature of sarcoma of the eyelid and reported two more cases. Additional cases were reported by Juler,² Stock,³ Rifaat (three cases),⁴ Fiore,⁵ Nichelatti,⁶ Gabriélidès,⁷ Jaensch (three cases),⁸ DeLogu,⁹ Ishibashi¹⁰ and Vele (three cases).¹¹ The ages of the patients varied from a few months to 80 years. The distribution according to sex was approximately equal. In the preponderance of cases the upper eyelid was involved. Many of the tumors when first seen were mistaken for chalazions, and their true nature was recognized later. The type of cell varied, round, spindle and mixed types being reported. Some of the tumors contained melanotic pigment. Some were excised without recurrence, and a few disappeared after irradiation. Some showed local recurrence ; some showed metastases, and several showed extension to regional lymph nodes. Many extended beyond