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[Soft tissue epithelioid hemangioendothelioma: a case report]
S Hannachi Sassi1, D Mansouri, I Abbes
1Service d'Anatomie et de Cytologie Pathologiques, Institut Salah Azaïez, Bab Saadoun, 1006 Tunis, Tunisie. samia.hannachi@rns.tn
Revue De Chirurgie Orthopedique Et Reparatrice De L'Appareil Moteur
|December 6, 2005
Summary
Epithelioid hemangioendothelioma, a rare soft tissue tumor, was diagnosed in a 35-year-old man. Despite aggressive treatment, the aggressive tumor recurred, leading to a fatal outcome.
Area of Science:
- Oncology
- Pathology
- Radiology
Background:
- Epithelioid hemangioendothelioma (EHE) is a rare vascular tumor.
- Soft tissue EHE is uncommon, presenting diagnostic challenges.
Observation:
- A 35-year-old male presented with a painful, progressively enlarging right arm mass over two years.
- Imaging showed a 7-cm poorly defined tumor in the medial arm muscles.
- Histological and immunohistochemical analysis confirmed soft tissue epithelioid hemangioendothelioma.
Findings:
- The tumor recurred locally in the right arm and axilla.
- Distant metastases developed, including nodules on the chest wall and pleural effusion.
- Despite adjuvant chemotherapy and radiotherapy, the patient succumbed to the disease within two years.
Implications:
- This case highlights the aggressive potential of soft tissue epithelioid hemangioendothelioma.
- It underscores the importance of accurate diagnosis and multidisciplinary management for rare tumors.
- Further research into effective therapeutic strategies for advanced EHE is warranted.