Korean J Thorac Cardiovasc Surg.  2015 Aug;48(4):294-297. 10.5090/kjtcs.2015.48.4.294.

Epithelioid Hemangioendothelioma Arising from Interanl Jugular Vein Mimicking Cervical Metastatic Lymphadenopathy

• Yun JS
• Kang SK
• Kim SH
• Na KJ
• Song SY

• KMID: 2382276
• DOI: http://doi.org/10.5090/kjtcs.2015.48.4.294

Abstract

Epithelioid hemangioendothelioma (EHE) is a relatively rare and moderately aggressive type of vascular tumor. We describe a case of EHE that presented in a 24-year-old woman as a palpable nodule in the left cervical area. Radiological examinations and fine-needle aspiration cytology led to a preliminary diagnosis of metastatic lymphadenopathy with an unknown primary site. However, during surgery, we determined that the nodule was an intra-vascular tumor arising from the left internal jugular vein. The histopathological examination revealed cords of epithelioid endothelial cells distributed in a hyaline stroma, compatible with a diagnosis of EHE.

Keyword

Vascular disease; Pathology; Epithelioid hemangioendothelioma

MeSH Terms

Biopsy, Fine-Needle
Diagnosis
Endothelial Cells
Female
Hemangioendothelioma, Epithelioid*
Humans
Hyalin
Jugular Veins*
Lymphatic Diseases*
Pathology
Vascular Diseases
Young Adult