Case Report: Primary epithelioid sarcoma of orbit: first case in Asia and literature review - Report - MDSpire

Case Report: Primary epithelioid sarcoma of orbit: first case in Asia and literature review

  • By

  • Guang Yang

  • Jingping Yuan

  • Fangfang Chen

  • Honglin Yan

  • Wen Liu

  • June 26, 2026

  • 0 min

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Clinical Report: Unique Case of Primary Epithelioid Sarcoma in the Orbit

Background

Epithelioid sarcoma is a rare malignant soft tissue tumor, accounting for less than 1% of all soft tissue sarcomas. The occurrence of primary epithelioid sarcoma in the orbit is exceptionally rare, with no prior documented cases in Asia.

Data Highlights

No numerical data or trial data was presented in the article.

Key Findings

  • First documented case of primary epithelioid sarcoma of the orbit in Asia.
  • The patient presented with painless proptosis and an irregular orbital mass.
  • Histological examination revealed multinodular growth with epithelioid and spindle cells.
  • Immunohistochemistry showed loss of INI1 expression and co-expression of epithelial and mesenchymal markers.
  • No local recurrence or distant metastasis was observed at 7 months postoperatively.
  • Pathological examination is essential for diagnosis due to the tumor's rarity and diagnostic challenges.

Clinical Implications

Histopathological examination is critical in diagnosing rare tumors like primary epithelioid sarcoma.

Related Resources & Content

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  8. Soft tissue and visceral sarcomas: ESMO-EURACAN-GENTURIS Clinical Practice Guidelines for diagnosis, treatment and follow-up☆ - PubMed
  9. Epithelioid Sarcoma - StatPearls - NCBI Bookshelf
  10. Tazemetostat in advanced epithelioid sarcoma with loss of INI1/SMARCB1: an international, open-label, phase 2 basket study - PubMed

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