Epithelioid hemangioma of liver—The first reported case

Epithelioid hemangioma, otherwise known as angiolymphoid hyperplasia with eosinophilia, is a rare benign vasoproliferative disease with an unknown etiology. We report the case of a 42-year-old man with routine bloods test showing mildly elevated serum bilirubin level. CT scan revealed a lesion in th...

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Autores principales: Adrienn Biro, László Ternyik, Veronika Czoma, Géza Hegedűs, István Bálint, Dezső Tóth, Zsolt Káposztás
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Publicado: Wolters Kluwer Medknow Publications 2021
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Acceso en línea:https://doaj.org/article/88b6d9eb12eb489faab76ae2b5af9dca
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spelling oai:doaj.org-article:88b6d9eb12eb489faab76ae2b5af9dca2021-12-02T17:28:22ZEpithelioid hemangioma of liver—The first reported case0377-492910.4103/IJPM.IJPM_148_20https://doaj.org/article/88b6d9eb12eb489faab76ae2b5af9dca2021-01-01T00:00:00Zhttp://www.ijpmonline.org/article.asp?issn=0377-4929;year=2021;volume=64;issue=5;spage=143;epage=145;aulast=Birohttps://doaj.org/toc/0377-4929Epithelioid hemangioma, otherwise known as angiolymphoid hyperplasia with eosinophilia, is a rare benign vasoproliferative disease with an unknown etiology. We report the case of a 42-year-old man with routine bloods test showing mildly elevated serum bilirubin level. CT scan revealed a lesion in the left liver lobe not typical of FNH. PET/CT scan and a dynamic liver MRI were consistent with a malignant mass. Surgical resection was performed. Histopathology of the 45 mm mass reported well-defined, slightly lobular proliferations of capillary-sized vessels around several central muscular vessels. Although the endothelial cells revealed a “hobnail” appearance, none of them showed pleomorphism or mitotic activity. Endothelial cells showed reactivity for the endothelial markers (CD34, CD31) and smooth muscle was detected in the blood vessel walls via immunohistochemistry. Despite its benign nature, epithelioid hemangioma of the liver can lead to a diagnostic and therapeutic dilemma due to the malignant looking features on imaging modalities.Adrienn BiroLászló TernyikVeronika CzomaGéza HegedűsIstván BálintDezső TóthZsolt KáposztásWolters Kluwer Medknow Publicationsarticleangiolymphoid hyperplasia with eosinophiliaepithelioid hemangiomaliverPathologyRB1-214MicrobiologyQR1-502ENIndian Journal of Pathology and Microbiology, Vol 64, Iss 5, Pp 143-145 (2021)
institution DOAJ
collection DOAJ
language EN
topic angiolymphoid hyperplasia with eosinophilia
epithelioid hemangioma
liver
Pathology
RB1-214
Microbiology
QR1-502
spellingShingle angiolymphoid hyperplasia with eosinophilia
epithelioid hemangioma
liver
Pathology
RB1-214
Microbiology
QR1-502
Adrienn Biro
László Ternyik
Veronika Czoma
Géza Hegedűs
István Bálint
Dezső Tóth
Zsolt Káposztás
Epithelioid hemangioma of liver—The first reported case
description Epithelioid hemangioma, otherwise known as angiolymphoid hyperplasia with eosinophilia, is a rare benign vasoproliferative disease with an unknown etiology. We report the case of a 42-year-old man with routine bloods test showing mildly elevated serum bilirubin level. CT scan revealed a lesion in the left liver lobe not typical of FNH. PET/CT scan and a dynamic liver MRI were consistent with a malignant mass. Surgical resection was performed. Histopathology of the 45 mm mass reported well-defined, slightly lobular proliferations of capillary-sized vessels around several central muscular vessels. Although the endothelial cells revealed a “hobnail” appearance, none of them showed pleomorphism or mitotic activity. Endothelial cells showed reactivity for the endothelial markers (CD34, CD31) and smooth muscle was detected in the blood vessel walls via immunohistochemistry. Despite its benign nature, epithelioid hemangioma of the liver can lead to a diagnostic and therapeutic dilemma due to the malignant looking features on imaging modalities.
format article
author Adrienn Biro
László Ternyik
Veronika Czoma
Géza Hegedűs
István Bálint
Dezső Tóth
Zsolt Káposztás
author_facet Adrienn Biro
László Ternyik
Veronika Czoma
Géza Hegedűs
István Bálint
Dezső Tóth
Zsolt Káposztás
author_sort Adrienn Biro
title Epithelioid hemangioma of liver—The first reported case
title_short Epithelioid hemangioma of liver—The first reported case
title_full Epithelioid hemangioma of liver—The first reported case
title_fullStr Epithelioid hemangioma of liver—The first reported case
title_full_unstemmed Epithelioid hemangioma of liver—The first reported case
title_sort epithelioid hemangioma of liver—the first reported case
publisher Wolters Kluwer Medknow Publications
publishDate 2021
url https://doaj.org/article/88b6d9eb12eb489faab76ae2b5af9dca
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AT veronikaczoma epithelioidhemangiomaofliverthefirstreportedcase
AT gezahegedus epithelioidhemangiomaofliverthefirstreportedcase
AT istvanbalint epithelioidhemangiomaofliverthefirstreportedcase
AT dezsototh epithelioidhemangiomaofliverthefirstreportedcase
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