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
Hauptverfasser: van Kasteren, ME, van der Wurff, AA, Palmen, FM, Dolman, A, Misere, JF
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container_end_page 1619
container_issue 9
container_start_page 1616
container_title The European respiratory journal
container_volume 8
creator van Kasteren, ME
van der Wurff, AA
Palmen, FM
Dolman, A
Misere, JF
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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source MEDLINE; EZB-FREE-00999 freely available EZB journals
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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