Femoral epithelioid hemangioendothelioma detected with magnetic resonance imaging and positron emission tomography/computed tomography : A case report

©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved..

BACKGROUND: Epithelioid hemangioendothelioma (EHE) is an uncommon low-grade aggressive vascular tumor. It can occur in almost all locations, but is rarely encountered in bone.

CASE SUMMARY: We report a 23-year-old man who presented with left hip pain with no obvious cause. X-ray revealed bone destruction in the left femoral neck with sclerosis at the edges of the lesions. Magnetic resonance imaging (MRI) showed bone destruction in the medullary cavity of the left femoral head and neck. 18F-deoxyglucose-positron emission tomography/computed tomography (PET/CT) imaging showed bone destruction in the left ischium, acetabulum, and left femoral head neck, accompanied by increased radioactive uptake; the maximum standard uptake value was 4.2. Histopathologic examination revealed spindle-shaped mesenchymal tissue hyperplasia with scattered epithelioid cells. The patient underwent left femoral head replacement surgery. No signs of recurrence were observed as of the 18-mo follow-up.

CONCLUSION: The definitive diagnosis of femoral EHE can be established aided by the MRI and PET/CT findings.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:9

Enthalten in:

World journal of clinical cases - 9(2021), 6 vom: 26. Feb., Seite 1353-1358

Sprache:

Englisch

Beteiligte Personen:

Zhao, Hong-Guang [VerfasserIn]
Zhang, Ke-Wei [VerfasserIn]
Hou, Sen [VerfasserIn]
Dai, Yu-Yin [VerfasserIn]
Xu, Song-Bai [VerfasserIn]

Links:

Volltext

Themen:

Bone radiography
Case Reports
Case report
Epithelioid
Hemangioendothelioma
Pathology
Vascular tumor

Anmerkungen:

Date Revised 03.03.2021

published: Print

Citation Status PubMed-not-MEDLINE

doi:

10.12998/wjcc.v9.i6.1353

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM322020662