Hepatic epithelioid hemangioendothelioma: A great mimicker
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Other documents of the author: Llueca, Antoni; Piquer Simó, Dolors; Maazouzi, Yasmine; Medina, Carmen; Delgado Barriga, Katty; Serra Rubert, Anna; Escrig-Sos, Javier
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Title
Hepatic epithelioid hemangioendothelioma: A great mimickerAuthor (s)
Date
2018-10Publisher
ElsevierBibliographic citation
LLUECA, Antoni, et al. Hepatic epithelioid hemangioendothelioma: A great mimicker. International journal of surgery case reports, 2018, 53: 25-28.Type
info:eu-repo/semantics/articlePublisher version
https://www.sciencedirect.com/science/article/pii/S221026121830436XVersion
info:eu-repo/semantics/publishedVersionSubject
Abstract
INTRODUCTION: Epithelioid hemangioendothelioma is a malignant mesenchymal tumor of unknown etiology. They tend to be asymptomatic or with non-specific symptoms. The lesion is usually multiple and
variable size.
PR ... [+]
INTRODUCTION: Epithelioid hemangioendothelioma is a malignant mesenchymal tumor of unknown etiology. They tend to be asymptomatic or with non-specific symptoms. The lesion is usually multiple and
variable size.
PRESENTATION OF CASE: We describe a clinical case of a 23-years-old patient diagnosed with a pelvic mass,
a possible uterine fibroid or adnexal mass, and multiple liver lesions that seemed an advanced ovarian
cancer presentation and after liver biopsy turned out to be a hepatic epithelioid hemangioendothelioma.
DISCUSSION: It may be confused with a metastatic process in diagnostic imaging. There have been
described some possible risk factors but the etiology remains unknown. The prognosis is usually lethal in
50% of cases. The surgical removal of the lesion and liver transplant appear to be the only hope for these
patients.
CONCLUSION: Epithelioid hemangioendothelioma must be part of our differential diagnosis when we find
a liver tumour, especially in young women. Treatment is excision of the tumour in limited disease. In the
case of unresectable disease are candidates for liver transplantation. [-]
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