Epithelioid haemangioendothelioma of the lung: clinical and pathological pitfalls
In 1973, a 10 year old boy presented with numerous bilateral lung nodules, diagnosed as histiocytosis X by open lung biopsy. The patient was treated with prednisone until 1984. In 1993, he developed severe pain in the neck. A biopsy of the spine revealed the same tumour morphology as was seen in the...
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Veröffentlicht in: | The European respiratory journal 1995-09, Vol.8 (9), p.1616-1619 |
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description | In 1973, a 10 year old boy presented with numerous bilateral lung nodules, diagnosed as histiocytosis X by open lung biopsy. The patient was treated with prednisone until 1984. In 1993, he developed severe pain in the neck. A biopsy of the spine revealed the same tumour morphology as was seen in the lung in 1973. Immunohistological examination of the former and present biopsy led to the definitive diagnosis of epithelioid haemangioendothelioma of the lung with metastases to spine and liver. Epithelioid haemangioendothelioma of the lung is a rare soft tissue tumour of vascular origin, readily mistaken for carcinoma or, as in this case, histiocytosis. The tumour has an intermediate malignant potential. Although metastases of epithelioid haemangioendothelioma of the lung are well-known, metastatic spread to bones, as in our case, has not previously been mentioned in the literature. |
doi_str_mv | 10.1183/09031936.95.08091616 |
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The patient was treated with prednisone until 1984. In 1993, he developed severe pain in the neck. A biopsy of the spine revealed the same tumour morphology as was seen in the lung in 1973. Immunohistological examination of the former and present biopsy led to the definitive diagnosis of epithelioid haemangioendothelioma of the lung with metastases to spine and liver. Epithelioid haemangioendothelioma of the lung is a rare soft tissue tumour of vascular origin, readily mistaken for carcinoma or, as in this case, histiocytosis. The tumour has an intermediate malignant potential. 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The patient was treated with prednisone until 1984. In 1993, he developed severe pain in the neck. A biopsy of the spine revealed the same tumour morphology as was seen in the lung in 1973. Immunohistological examination of the former and present biopsy led to the definitive diagnosis of epithelioid haemangioendothelioma of the lung with metastases to spine and liver. Epithelioid haemangioendothelioma of the lung is a rare soft tissue tumour of vascular origin, readily mistaken for carcinoma or, as in this case, histiocytosis. The tumour has an intermediate malignant potential. Although metastases of epithelioid haemangioendothelioma of the lung are well-known, metastatic spread to bones, as in our case, has not previously been mentioned in the literature.</description><subject>Antineoplastic Agents - therapeutic use</subject><subject>Biological and medical sciences</subject><subject>Biopsy</subject><subject>Child</subject><subject>Diagnostic Errors</subject><subject>Fatal Outcome</subject><subject>Hemangioendothelioma - diagnosis</subject><subject>Hemangioendothelioma - drug therapy</subject><subject>Hemangioendothelioma - pathology</subject><subject>Hemangioendothelioma - physiopathology</subject><subject>Histiocytosis, Langerhans-Cell - diagnosis</subject><subject>Humans</subject><subject>Lung Neoplasms - diagnosis</subject><subject>Lung Neoplasms - drug therapy</subject><subject>Lung Neoplasms - pathology</subject><subject>Lung Neoplasms - physiopathology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Pneumology</subject><subject>Spinal Neoplasms - diagnosis</subject><subject>Spinal Neoplasms - drug therapy</subject><subject>Spinal Neoplasms - secondary</subject><subject>Tumors of the respiratory system and mediastinum</subject><issn>0903-1936</issn><issn>1399-3003</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1995</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kVtLAzEQhYMoWqv_QGEf1LetM529xTeReoGCCPocskm2G8lu6qZF_PemF32aYc43J-QMYxcIE8SKboEDIadiwvMJVMCxwOKAjZA4TwmADtlog6Qb5oSdhvAJgEVGeMyOq7zMc04j9jZb2lVrnPVWJ600newX1pte-920k4lvktgnbt0v7hLlbG-VdInsdbKUq9Y7v9gOok8jnQtn7CjWYM73dcw-HmfvD8_p_PXp5eF-niqaQpHmWdVMVSVNVqHGKcesMbmErFZEBmStAEyJta5J1xqwpqw2mjecVIlRIBqzm53vcvBfaxNWorNBGedkb_w6iLIsCwTagNkOVIMPYTCNWA62k8OPQBCbJMVfkoLn4i_JuHa591_XndH_S_voon6112WI_28G2Ssb_rFpFW3iFcbseoe1dtF-28GI0MWYoikKM3xWgovtc78rYIjM</recordid><startdate>199509</startdate><enddate>199509</enddate><creator>van Kasteren, ME</creator><creator>van der Wurff, AA</creator><creator>Palmen, FM</creator><creator>Dolman, A</creator><creator>Misere, JF</creator><general>Eur Respiratory Soc</general><general>Maney</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199509</creationdate><title>Epithelioid haemangioendothelioma of the lung: clinical and pathological pitfalls</title><author>van Kasteren, ME ; van der Wurff, AA ; Palmen, FM ; Dolman, A ; Misere, JF</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3206-548f2c8ae481d12914fe5a04bc33e0abc00e71bdb3dbd01b34bed9f93c71e7133</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1995</creationdate><topic>Antineoplastic Agents - therapeutic use</topic><topic>Biological and medical sciences</topic><topic>Biopsy</topic><topic>Child</topic><topic>Diagnostic Errors</topic><topic>Fatal Outcome</topic><topic>Hemangioendothelioma - diagnosis</topic><topic>Hemangioendothelioma - drug therapy</topic><topic>Hemangioendothelioma - pathology</topic><topic>Hemangioendothelioma - physiopathology</topic><topic>Histiocytosis, Langerhans-Cell - diagnosis</topic><topic>Humans</topic><topic>Lung Neoplasms - diagnosis</topic><topic>Lung Neoplasms - drug therapy</topic><topic>Lung Neoplasms - pathology</topic><topic>Lung Neoplasms - physiopathology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Pneumology</topic><topic>Spinal Neoplasms - diagnosis</topic><topic>Spinal Neoplasms - drug therapy</topic><topic>Spinal Neoplasms - secondary</topic><topic>Tumors of the respiratory system and mediastinum</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>van Kasteren, ME</creatorcontrib><creatorcontrib>van der Wurff, AA</creatorcontrib><creatorcontrib>Palmen, FM</creatorcontrib><creatorcontrib>Dolman, A</creatorcontrib><creatorcontrib>Misere, JF</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The European respiratory journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>van Kasteren, ME</au><au>van der Wurff, AA</au><au>Palmen, FM</au><au>Dolman, A</au><au>Misere, JF</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Epithelioid haemangioendothelioma of the lung: clinical and pathological pitfalls</atitle><jtitle>The European respiratory journal</jtitle><addtitle>Eur Respir J</addtitle><date>1995-09</date><risdate>1995</risdate><volume>8</volume><issue>9</issue><spage>1616</spage><epage>1619</epage><pages>1616-1619</pages><issn>0903-1936</issn><eissn>1399-3003</eissn><abstract>In 1973, a 10 year old boy presented with numerous bilateral lung nodules, diagnosed as histiocytosis X by open lung biopsy. The patient was treated with prednisone until 1984. In 1993, he developed severe pain in the neck. A biopsy of the spine revealed the same tumour morphology as was seen in the lung in 1973. Immunohistological examination of the former and present biopsy led to the definitive diagnosis of epithelioid haemangioendothelioma of the lung with metastases to spine and liver. Epithelioid haemangioendothelioma of the lung is a rare soft tissue tumour of vascular origin, readily mistaken for carcinoma or, as in this case, histiocytosis. The tumour has an intermediate malignant potential. Although metastases of epithelioid haemangioendothelioma of the lung are well-known, metastatic spread to bones, as in our case, has not previously been mentioned in the literature.</abstract><cop>Leeds</cop><pub>Eur Respiratory Soc</pub><pmid>8575593</pmid><doi>10.1183/09031936.95.08091616</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Antineoplastic Agents - therapeutic use Biological and medical sciences Biopsy Child Diagnostic Errors Fatal Outcome Hemangioendothelioma - diagnosis Hemangioendothelioma - drug therapy Hemangioendothelioma - pathology Hemangioendothelioma - physiopathology Histiocytosis, Langerhans-Cell - diagnosis Humans Lung Neoplasms - diagnosis Lung Neoplasms - drug therapy Lung Neoplasms - pathology Lung Neoplasms - physiopathology Male Medical sciences Pneumology Spinal Neoplasms - diagnosis Spinal Neoplasms - drug therapy Spinal Neoplasms - secondary Tumors of the respiratory system and mediastinum |
title | Epithelioid haemangioendothelioma of the lung: clinical and pathological pitfalls |
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