A Rare Case of Pulmonary Epithelioid Hemangioendothelioma Presenting with Skin Metastasis
Epithelioid hemangioendothelioma (EHE) is a well-differentiated and rare vascular tumor. Systemic metastases are uncommon. Herein, we present a patient with skin metastasis of pulmonary EHE (PEH) that was treated by wide excision. A 76-year-old male was evaluated due to pulmonary thromboembolism and...
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| Format: | Article |
| Language: | English |
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Thieme Medical Publishers, Inc.
2016-05-01
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| Series: | Archives of Plastic Surgery |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2016.43.3.284 |
| _version_ | 1798041748178468864 |
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| author | Hyung-Suk Ro Jin Yong Shin Si-Gyun Roh Nae-Ho Lee Kyung-Moo Yang Woo-Sung Moon |
| author_facet | Hyung-Suk Ro Jin Yong Shin Si-Gyun Roh Nae-Ho Lee Kyung-Moo Yang Woo-Sung Moon |
| author_sort | Hyung-Suk Ro |
| collection | DOAJ |
| description | Epithelioid hemangioendothelioma (EHE) is a well-differentiated and rare vascular tumor. Systemic metastases are uncommon. Herein, we present a patient with skin metastasis of pulmonary EHE (PEH) that was treated by wide excision. A 76-year-old male was evaluated due to pulmonary thromboembolism and a solitary pulmonary nodule. A biopsy was performed and pathological examination of the mass confirmed EHE. No metastasis was observed. The patient returned to care approximately two years later due to a painful nodule in the right lower leg. A skin biopsy showed metastatic EHE from the lung. We used a safety margin of 1 cm based on clinical experience, because no prior case had been reported regarding the resection margin appropriate for primary cutaneous EHE and skin metastases of PEH. At four months after surgery, the patient recovered without complications or recurrence. Skin metastasis of PEH is extremely rare, and only two cases have been reported in the literature. In this case, we report a rare case of PEH with histologically diagnosed skin metastasis that was successfully treated by curative resection. It is expected that this case report will provide a helpful contribution to the extant data regarding PEH metastases. |
| first_indexed | 2024-04-11T22:25:55Z |
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| institution | Directory Open Access Journal |
| issn | 2234-6163 2234-6171 |
| language | English |
| last_indexed | 2024-04-11T22:25:55Z |
| publishDate | 2016-05-01 |
| publisher | Thieme Medical Publishers, Inc. |
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| series | Archives of Plastic Surgery |
| spelling | doaj.art-b8185eed16bd481fb15caa15237996202022-12-22T03:59:45ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-61712016-05-01430328428710.5999/aps.2016.43.3.284672A Rare Case of Pulmonary Epithelioid Hemangioendothelioma Presenting with Skin MetastasisHyung-Suk Ro0Jin Yong Shin1Si-Gyun Roh2Nae-Ho Lee3Kyung-Moo Yang4Woo-Sung Moon5Department of Plastic and Reconstructive Surgery, Chonbuk National University Medical School, Jeonju, KoreaDepartment of Plastic and Reconstructive Surgery, Chonbuk National University Medical School, Jeonju, KoreaDepartment of Plastic and Reconstructive Surgery, Chonbuk National University Medical School, Jeonju, KoreaDepartment of Plastic and Reconstructive Surgery, Chonbuk National University Medical School, Jeonju, KoreaDepartment of Plastic and Reconstructive Surgery, Chonbuk National University Medical School, Jeonju, KoreaDepartment of Pathology, Chonbuk National University Medical School, Jeonju, KoreaEpithelioid hemangioendothelioma (EHE) is a well-differentiated and rare vascular tumor. Systemic metastases are uncommon. Herein, we present a patient with skin metastasis of pulmonary EHE (PEH) that was treated by wide excision. A 76-year-old male was evaluated due to pulmonary thromboembolism and a solitary pulmonary nodule. A biopsy was performed and pathological examination of the mass confirmed EHE. No metastasis was observed. The patient returned to care approximately two years later due to a painful nodule in the right lower leg. A skin biopsy showed metastatic EHE from the lung. We used a safety margin of 1 cm based on clinical experience, because no prior case had been reported regarding the resection margin appropriate for primary cutaneous EHE and skin metastases of PEH. At four months after surgery, the patient recovered without complications or recurrence. Skin metastasis of PEH is extremely rare, and only two cases have been reported in the literature. In this case, we report a rare case of PEH with histologically diagnosed skin metastasis that was successfully treated by curative resection. It is expected that this case report will provide a helpful contribution to the extant data regarding PEH metastases.http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2016.43.3.284hemangioendothelioma, epithelioidskincutaneous surgery |
| spellingShingle | Hyung-Suk Ro Jin Yong Shin Si-Gyun Roh Nae-Ho Lee Kyung-Moo Yang Woo-Sung Moon A Rare Case of Pulmonary Epithelioid Hemangioendothelioma Presenting with Skin Metastasis Archives of Plastic Surgery hemangioendothelioma, epithelioid skin cutaneous surgery |
| title | A Rare Case of Pulmonary Epithelioid Hemangioendothelioma Presenting with Skin Metastasis |
| title_full | A Rare Case of Pulmonary Epithelioid Hemangioendothelioma Presenting with Skin Metastasis |
| title_fullStr | A Rare Case of Pulmonary Epithelioid Hemangioendothelioma Presenting with Skin Metastasis |
| title_full_unstemmed | A Rare Case of Pulmonary Epithelioid Hemangioendothelioma Presenting with Skin Metastasis |
| title_short | A Rare Case of Pulmonary Epithelioid Hemangioendothelioma Presenting with Skin Metastasis |
| title_sort | rare case of pulmonary epithelioid hemangioendothelioma presenting with skin metastasis |
| topic | hemangioendothelioma, epithelioid skin cutaneous surgery |
| url | http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2016.43.3.284 |
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