It was on the todo list, but its not that simple, for example:
http://stackoverflow.com/questions/20376990/perl-cgi-vs-fastcgi
http://forums.iis.net/t/1107796.aspx?FastCGI+Perl

Basically you can take any fcgi wrapper, adjust some minor stuff for windows but you'd have to rewrite the socket part into a tcp port, just like php works.

Or use a simple apache/modperl as (loadbalanced) backend(s).

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nginx for Windows http://nginx-win.ecsds.eu/