Primary isolated epithelioid hemangioendothelioma of a lumbar vertebra

Epithelioid hemangioendothelioma is a rare vascular tumour which occasionally occurs in bone. It presents predominantly as multifocal lesions in young males and is frequently misdiagnosed as metastatic carcinoma. We describe a case presenting as a solitary vertebral lesion in a 48-year-old female, which was initially misdiagnosed as a carcinoma and which responded well to radiotherapy.