All three patients were treated with surgical debridement and less than one month of systemic corticosteroids. The patients then were treated with intranasal corticosteroids and monitored closely. Antifungal therapy was not used. Tumor was identified by computed tomography. An exenteration was performed, and osteogenic sarcoma was identified.
Osteogenic sarcoma is the most common primary malignant tumor of bone.
In the orbit it frequently is associated with prior irradiation for retinoblastoma. We describe the first case of osteogenic sarcoma that developed de novo from bone within a phthisical eye.