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Hepatic epithelioid hemangioendothelioma
D R Radin1, J R Craig, P M Colletti
1Department of Radiology, University of Southern California School of Medicine, Los Angeles County-USC Medical Center 90033-1084.
Radiology
|October 1, 1988
Summary
Epithelioid hemangioendothelioma (EHE) is a rare liver cancer. This review highlights its varied prognosis and characteristic CT imaging findings, aiding diagnosis.
Area of Science:
- Oncology
- Vascular Neoplasms
- Hepatology
Background:
- Epithelioid hemangioendothelioma (EHE) is a rare malignant vascular tumor.
- It can arise in various locations, including the liver, lung, and soft tissues.
- Hepatic EHE specifically affects adults, with a predilection for women.
Observation:
- This study reviews 49 previously reported cases and presents 4 new cases of hepatic EHE.
- Tumor presentation on computed tomography (CT) often involves multiple hepatic nodules that coalesce.
- These masses typically involve the liver periphery, leading to liver enlargement and splenomegaly in extensive cases.
Findings:
- The prognosis for hepatic EHE is variable.
- Radiologic features on CT are suggestive of the tumor's growth pattern.
- Clinical presentation is often nonspecific, increasing the risk of misdiagnosis.
Implications:
- Recognizing the characteristic CT findings of hepatic EHE is crucial for accurate diagnosis.
- Awareness of these radiologic features can help differentiate EHE from other liver pathologies.
- Early and accurate diagnosis is essential for appropriate patient management and treatment planning.