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Diffuse hepatic epithelioid hemangioendothelioma with multiple splenic metastasis and delayed multifocal bone metastasis after liver transplantation on FDG PET/CT images: A case report.

Abstract Malignant hepatic epithelioid hemangioendotheliom (HEH) is a rare vascular tumor of endothelial origin, with multiple metastases to the spleen. This report describes a diffuse HEH with splenic metastasis on 18F-fluorodeoxyglucose (18F-FDG) positron emission tomography/computed tomography (PET/CT) images and delayed mutifocal bone metastasis after liver transplantation (LTx).
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title medicine
Publication Year Start




PMID- 29851777
OWN - NLM
STAT- MEDLINE
DCOM- 20180608
LR  - 20180608
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 97
IP  - 22
DP  - 2018 Jun
TI  - Diffuse hepatic epithelioid hemangioendothelioma with multiple splenic metastasis
      and delayed multifocal bone metastasis after liver transplantation on FDG PET/CT 
      images: A case report.
PG  - e10728
LID - 10.1097/MD.0000000000010728 [doi]
AB  - RATIONALE: Malignant hepatic epithelioid hemangioendotheliom (HEH) is a rare
      vascular tumor of endothelial origin, with multiple metastases to the spleen.
      This report describes a diffuse HEH with splenic metastasis on
      18F-fluorodeoxyglucose (18F-FDG) positron emission tomography/computed tomography
      (PET/CT) images and delayed mutifocal bone metastasis after liver transplantation
      (LTx). PATIENT CONCERNS: A 30-year-old male was admitted to our hospital with a
      complaint of abdominal distension, fatigue, and anorexia for 2 months. DIAGNOSES:
      Mild to moderate FDG uptake in the whole liver, and multifocal FDG uptake in the 
      spleen were observed on 18F-FDG PET/CT scan. Ultrasound guided liver biopsy was
      performed, and a diagnosis of HEH was confirmed. INTERVENTIONS: The patient
      underwent LTx and splenectomy. OUTCOMES: The patient developed low back pain due 
      to unknown etiology, 3 months after surgery. A follow-up 18F-FDG PET/CT scan
      demonstrated multifocal bone destruction. Unfortunately, the patient died 12
      months after surgery. LESSONS: It is noteworthy that despite liver
      transplantation for the treatment of HEH, there may be a risk of recurrence. For 
      these patients with extrahepatic lesions, adjuvant chemotherapy may be a useful
      alternative treatment method for the prevention of recurrence.
FAU - Tan, Yanlin
AU  - Tan Y
AD  - PET-CT Center.
FAU - Yang, Xiaohuang
AU  - Yang X
AD  - PET-CT Center.
FAU - Dong, Chuning
AU  - Dong C
AD  - PET-CT Center.
FAU - Xiao, Zhe
AU  - Xiao Z
AD  - PET-CT Center.
FAU - Zhang, Hongbo
AU  - Zhang H
AD  - Department of Pathology, the Second Xiangya Hospital, Central South University,
      Changsha, Hunan, China.
FAU - Wang, Yunhua
AU  - Wang Y
AD  - PET-CT Center.
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
RN  - 0Z5B2CJX4D (Fluorodeoxyglucose F18)
SB  - AIM
SB  - IM
MH  - Adult
MH  - Bone Neoplasms/pathology/*secondary
MH  - Diagnosis, Differential
MH  - Fatal Outcome
MH  - Fluorodeoxyglucose F18/*metabolism
MH  - Hemangioendothelioma, Epithelioid/diagnostic imaging/*pathology
MH  - Hospitalization
MH  - Humans
MH  - Liver/blood supply/*pathology/ultrastructure
MH  - Liver Neoplasms/diagnostic imaging/*pathology
MH  - Liver Transplantation/*adverse effects/methods
MH  - Male
MH  - Neoplasm Recurrence, Local
MH  - Positron Emission Tomography Computed Tomography/methods
MH  - Spleen/pathology
MH  - Splenic Neoplasms/pathology/*secondary
MH  - Tomography, X-Ray Computed/methods
EDAT- 2018/06/01 06:00
MHDA- 2018/06/09 06:00
CRDT- 2018/06/01 06:00
PHST- 2018/06/01 06:00 [entrez]
PHST- 2018/06/01 06:00 [pubmed]
PHST- 2018/06/09 06:00 [medline]
AID - 10.1097/MD.0000000000010728 [doi]
AID - 00005792-201806010-00005 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2018 Jun;97(22):e10728. doi: 10.1097/MD.0000000000010728.