Thoracic composite hemangioendothelioma with neuroendocrine marker expression

Abstract Background Composite hemangioendothelioma is an extraordinarily rare form of vascular neoplasm which develops predominantly in the skins and soft tissues of the adults. Neuroendocrine marker expression in composite hemangioendothelioma is considered as specifically relevant to the more aggr...

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Autores principales:	Ei Miyamoto, Kenji Seki, Hiroyuki Katsuragawa, Yuji Yoshimoto, Yuki Ohsumi, Takamasa Fukui, Masashi Gotoh, Tatsuo Nakagawa
Formato:	article
Lenguaje:	EN
Publicado:	SpringerOpen 2021
Materias:	Neuroendocrine composite hemangioendothelioma Chest wall resection Rare vascular neoplasm Surgery RD1-811
Acceso en línea:	https://doaj.org/article/1e349f3af5d54a67a25d148d445c3096
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spelling	oai:doaj.org-article:1e349f3af5d54a67a25d148d445c30962021-11-28T12:29:09ZThoracic composite hemangioendothelioma with neuroendocrine marker expression10.1186/s40792-021-01331-32198-7793https://doaj.org/article/1e349f3af5d54a67a25d148d445c30962021-11-01T00:00:00Zhttps://doi.org/10.1186/s40792-021-01331-3https://doaj.org/toc/2198-7793Abstract Background Composite hemangioendothelioma is an extraordinarily rare form of vascular neoplasm which develops predominantly in the skins and soft tissues of the adults. Neuroendocrine marker expression in composite hemangioendothelioma is considered as specifically relevant to the more aggressive behavior. Case presentation The patient was a 71-year-old man complaining continuous back pain. Computed tomography (CT) showed that 10 cm of contrast-enhanced soft tissue mass was occurring on the right posterior chest wall and developing adjacent to the spinal canal. Via the laminectomy, the tumor end was identified and separated from the dura mater. Then, via the posterolateral thoracotomy, the en bloc resection was achieved by separating the tumor from the diaphragm and vertebras. Histologic examination showed a complex combination of epithelioid and retiform hemangioendothelioma areas which were positive for anti-synaptophysin staining. At 12-month follow-up, there were no signs of tumor recurrence on CT, and the patient had no symptom. Conclusions We achieved the complete resection of a huge thoracic neuroendocrine composite hemangioendothelioma developing adjacent to the spinal canal. The combination of the posterior lumbar laminectomy and the following posterior thoracotomy is a viable approach to radically resect a thoracic neuroendocrine composite hemangioendothelioma involving chest wall.Ei MiyamotoKenji SekiHiroyuki KatsuragawaYuji YoshimotoYuki OhsumiTakamasa FukuiMasashi GotohTatsuo NakagawaSpringerOpenarticleNeuroendocrine composite hemangioendotheliomaChest wall resectionRare vascular neoplasmSurgeryRD1-811ENSurgical Case Reports, Vol 7, Iss 1, Pp 1-4 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Neuroendocrine composite hemangioendothelioma Chest wall resection Rare vascular neoplasm Surgery RD1-811
spellingShingle	Neuroendocrine composite hemangioendothelioma Chest wall resection Rare vascular neoplasm Surgery RD1-811 Ei Miyamoto Kenji Seki Hiroyuki Katsuragawa Yuji Yoshimoto Yuki Ohsumi Takamasa Fukui Masashi Gotoh Tatsuo Nakagawa Thoracic composite hemangioendothelioma with neuroendocrine marker expression
description	Abstract Background Composite hemangioendothelioma is an extraordinarily rare form of vascular neoplasm which develops predominantly in the skins and soft tissues of the adults. Neuroendocrine marker expression in composite hemangioendothelioma is considered as specifically relevant to the more aggressive behavior. Case presentation The patient was a 71-year-old man complaining continuous back pain. Computed tomography (CT) showed that 10 cm of contrast-enhanced soft tissue mass was occurring on the right posterior chest wall and developing adjacent to the spinal canal. Via the laminectomy, the tumor end was identified and separated from the dura mater. Then, via the posterolateral thoracotomy, the en bloc resection was achieved by separating the tumor from the diaphragm and vertebras. Histologic examination showed a complex combination of epithelioid and retiform hemangioendothelioma areas which were positive for anti-synaptophysin staining. At 12-month follow-up, there were no signs of tumor recurrence on CT, and the patient had no symptom. Conclusions We achieved the complete resection of a huge thoracic neuroendocrine composite hemangioendothelioma developing adjacent to the spinal canal. The combination of the posterior lumbar laminectomy and the following posterior thoracotomy is a viable approach to radically resect a thoracic neuroendocrine composite hemangioendothelioma involving chest wall.
format	article
author	Ei Miyamoto Kenji Seki Hiroyuki Katsuragawa Yuji Yoshimoto Yuki Ohsumi Takamasa Fukui Masashi Gotoh Tatsuo Nakagawa
author_facet	Ei Miyamoto Kenji Seki Hiroyuki Katsuragawa Yuji Yoshimoto Yuki Ohsumi Takamasa Fukui Masashi Gotoh Tatsuo Nakagawa
author_sort	Ei Miyamoto
title	Thoracic composite hemangioendothelioma with neuroendocrine marker expression
title_short	Thoracic composite hemangioendothelioma with neuroendocrine marker expression
title_full	Thoracic composite hemangioendothelioma with neuroendocrine marker expression
title_fullStr	Thoracic composite hemangioendothelioma with neuroendocrine marker expression
title_full_unstemmed	Thoracic composite hemangioendothelioma with neuroendocrine marker expression
title_sort	thoracic composite hemangioendothelioma with neuroendocrine marker expression
publisher	SpringerOpen
publishDate	2021
url	https://doaj.org/article/1e349f3af5d54a67a25d148d445c3096
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Thoracic composite hemangioendothelioma with neuroendocrine marker expression

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