Korean J Hepatol.  2008 Dec;14(4):525-531. 10.3350/kjhep.2008.14.4.525.

A case of hepatic epithelioid hemangioendothelioma that caused extrahepatic metastases without intrahepatic recurrence after hepatic resection

Affiliations
  • 1Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea. baesh@catholic.ac.kr
  • 2Department of Pathology, College of Medicine, The Catholic University of Korea, Seoul, Korea.

Abstract

Epithelioid hemangioendothelioma is a neoplasm of vascular origin with a low-to-intermediate malignant potential and is one of the rare sarcomas arising from the liver. Its etiology is unknown and its clinical outcome is unpredictable. There is no generally accepted therapeutic strategy because of its rarity and the variable natural course between hemangioma and angiosarcoma. We report a case of a 64-year old woman who underwent hepatic resection due to epithelioid hemangioendothelioma in the right lobe that progressed to extrahepatic metastases of the bone, pleura, and peritoneum 22 months later. However, after resection there was no primary hepatic recurrence.

Keyword

Hemangioendothelioma, Epithelioid; Hepatic resection; Extrahepatic metastasis

MeSH Terms

Bone Neoplasms/diagnosis/pathology/secondary
Female
Hemangioendothelioma, Epithelioid/*diagnosis/pathology/*secondary
Hepatectomy
Humans
Liver Neoplasms/*diagnosis/pathology
Lung Neoplasms/diagnosis/pathology/secondary
Middle Aged
Tomography, X-Ray Computed
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