Korean J Gastroenterol.  2024 Feb;83(2):74-77. 10.4166/kjg.2024.010.

Hepatic Epithelioid Hemangioendothelioma

Affiliations
  • 1Division of Gastroenterology, Department of Internal Medicine, Konkuk University School of Medicine, Seoul, Korea


Figure

  • Fig. 1 Ultrasonography showed a 5 cm-sized round-shaped hypoechoic mass in segment 2 of liver. (A) Sagittal scan. (B) Transverse scan.

  • Fig. 2 CT scan demonstrated a 5.3 cm-sized round-shaped hypodense mass with peripheral enhancement in the portal phase, accompanying with several daughter nodules (white arrowheads).

  • Fig. 3 MRI showed a 5.6 cm-sized heterogenous round-shaped mass, where relatively high signal intensity in T2-wieghted images (A) and low signal intensity with peripheral enhancement in T1-weighted images (B).

  • Fig. 4 The PET-CT scan revealed a hypermetabolic mass lesion with central necrosis in the left lobe of the liver, as well as several hypermetabolic daughter nodules and metastatic lymph nodes in the left gastric area (white arrowhead).

  • Fig. 5 Histologic examination (H&E staining x200) reveals that epithelioid malignant cells arranged in cords in myxoid stroma, and epithelioid cells show atypical nuclei with prominent nucleoli (inlet, black arrowhead).


Reference

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