Pulmonary epithelioid hemangioendothelioma imitating lung cancer

Łochowski, Mariusz; Rębowski, Marek; Jesionek-Kupnicka, Dorota; Kozak, Józef

doi:10.5114/kitp.2017.70538

Cited by 4 publications

(4 citation statements)

References 2 publications

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“…Unfortunately, the pattern of bilateral multiple pulmonary nodules was initially misdiagnosed as lung metastases in our study, in agreement with previous studies 6,15 . In this study, patients presenting with a solitary pulmonary mass were misdiagnosed with lung cancer, which is consistent with previous studies 16 …”

Section: Discussionsupporting

confidence: 93%

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Pulmonary Epithelioid Hemangioendothelioma: Imaging and Clinical Features

Liu¹,

Wang²,

Lang

et al. 2021

J Comput Assist Tomogr

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The aim of this study was to analyze the computed tomography (CT), fluorine-18 fluorodeoxyglucose positron emission tomography/ computed tomography ( 18 F-FDG PET/CT), and clinical findings of pulmonary epithelioid hemangioendothelioma.Methods: Eighteen patients were included. We reviewed CT and PET/CT features and clinical information. Spearman correlation analysis was used to reveal the correlation between lesion size and maximum standardized uptake values (SUVmax).Results: Eleven patients complained of different symptoms. The serum levels of tumor markers were elevated in 8 patients (44.4%). Multiple lesions were shown in 14 cases (77.8%). Eleven cases (61.1%) presented as bilateral multiple perivascular lesions. The size of the largest nodule was less than 20 mm in diameter in 11 cases (61.1%). Eleven cases underwent PET/CT examination, and 8 cases (72.7%) had increased FDG uptake. There was a positive correlation (Spearman correlation coefficient, 0.56; P = 0.009) between lesion size and SUVmax. Extrapulmonary involvement was shown in 7 cases, including the liver and bone.Conclusions: Pulmonary epithelioid hemangioendothelioma on CT scan usually showed multiple bilateral perivascular lung nodules, generally measuring less than 20 mm in diameter. Lesions usually showed increased FDG uptake on PET/CT scans. There was a positive correlation between lesion size and SUVmax. The liver and bone were the most frequently involved extrapulmonary organs.

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Section: Discussionsupporting

confidence: 93%

“…6,15 In this study, patients presenting with a solitary pulmonary mass were misdiagnosed with lung cancer, which is consistent with previous studies. 16 Previously, very few case reports described the findings of calcification in PEH. 2,9,17 However, 5 cases (27.8%) had spotted calcification in our series.…”

Section: Discussionmentioning

confidence: 99%

Pulmonary Epithelioid Hemangioendothelioma: Imaging and Clinical Features

Liu¹,

Wang²,

Lang

et al. 2021

J Comput Assist Tomogr

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“…EHE tends to occur in middle‐aged women, and the incidence rate is 2–4 times that of men. More than 40% of patients are younger than 30 years old 8 . Clinical symptoms include respiratory symptoms such as shortness of breath, dry cough, and hemoptysis, as well as mild chest pain, fatigue, low fever, and anemia, with occasional decrease in body mass 9 .…”

Section: Discussionmentioning

confidence: 99%

“…More than 40% of patients are younger than 30 years old. 8 Clinical symptoms include respiratory symptoms such as shortness of breath, dry cough, and hemoptysis, as well as mild chest pain, fatigue, low fever, and anemia, with occasional decrease in body mass. 9 In our case, the patient presented without any symptoms.…”

Section: Discussionmentioning

confidence: 99%

An extremely rare case of pulmonary epithelioid hemangioendothelioma

Chen,

Wang,

Che

et al. 2023

Thoracic Cancer

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Epithelioid emangioendothelioma (EHE) is a rare tumor originating from vascular endothelial cells, which belongs to malignant vascular tumors with low to moderate differentiation and potential metastatic ability and its incidence rate is less than one in a million. We herein report a rare case of EHE of pulmonary origin and a review of the literature concerning the clinical and pathological features of this disease. The patient underwent left upper lobectomy to completely extirpate the lesion by video‐assisted thoracic surgery. Our findings suggest the difficulty of making a diagnosis before surgery and that more cases need to be reported in order to facilitate the preoperative diagnosis of such a rare tumor.

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