Epithelioid sarcoma-like hemangioendothelioma on the chest wall

Asian Cardiovasc Thorac Ann. 2016 Oct;24(8):814-817. doi: 10.1177/0218492316664672. Epub 2016 Aug 4.

Abstract

Epithelioid sarcoma-like hemangioendothelioma is a rare vascular neoplasm that usually occurs in the distal extremities of young adults. Although the overall behavior of this neoplasm is usually indolent with a low risk of distant metastasis, the risk of local recurrence is significant. Therefore, initial surgical treatment with an adequate margin is important to improve the prognosis. However, epithelioid sarcoma-like hemangioendothelioma is frequently misdiagnosed. A preoperative misdiagnosis could result in resection without a sufficient margin. Herein, we describe a 68-year-old man with epithelioid sarcoma-like hemangioendothelioma on the chest wall, which was treated by wide resection despite difficulties with the preoperative diagnosis.

Keywords: Biomarkers; Diagnosis; Hemangioendothelioma; Vascular neoplasms; differential; epithelioid; tumor.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Biomarkers, Tumor / analysis
  • Biopsy
  • Diagnosis, Differential
  • Hemangioendothelioma, Epithelioid / chemistry
  • Hemangioendothelioma, Epithelioid / pathology*
  • Hemangioendothelioma, Epithelioid / surgery
  • Humans
  • Immunohistochemistry
  • Male
  • Margins of Excision
  • Positron Emission Tomography Computed Tomography
  • Predictive Value of Tests
  • Sarcoma / chemistry
  • Sarcoma / pathology*
  • Sarcoma / surgery
  • Thoracic Neoplasms / chemistry
  • Thoracic Neoplasms / pathology*
  • Thoracic Neoplasms / surgery
  • Treatment Outcome

Substances

  • Biomarkers, Tumor