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CASE REPORT
Year : 2022  |  Volume : 15  |  Issue : 2  |  Page : 228-230

Wolf in sheep's clothing: Primary orbital Ewing sarcoma in a child masquerading as internal angular dermoid


1 Department of Ophthalmology, Kasturba Medical College, Mangalore Manipal Academy of Higher Education Manipal, Kozhikode, Kerala, India
2 Division of Pediatric Hematology/Oncology, Department of Pediatrics, Kasturba Medical College, Mangalore Manipal Academy of Higher Education Manipal, Kozhikode, Kerala, India
3 Department of Pathology, Kasturba Medical College, Mangalore Manipal Academy of Higher Education Manipal, Kozhikode, Kerala, India
4 Consutant, Oculoplasty and Ocular Oncology Services Malabar Super-Speciality Eye Hospital, Kozhikode, Kerala, India

Correspondence Address:
Dr. Teena Mariet Mendonca
Department of Ophthalmology, Kasturba Medical College Hospital, Manipal Academy of Higher Education, Manipal - 575 001, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ojo.ojo_180_21

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Ewing sarcoma is one of the rare, highly malignant neuroectodermal tumors frequently involving bones. Primary orbital Ewing sarcoma is extremely uncommon. We report a rare case of a 5-year-old boy who presented to us with a painless, slow-growing mass above the medial canthus of the left eye, the clinical appearance of which was masquerading as an internal angular dermoid. The child was subsequently diagnosed to have primary orbital Ewing sarcoma. Primary orbital Ewing sarcoma is a rare tumor with poor prognosis, poses diagnostic challenges, and demands a high index of clinical suspicion.


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