A Review of the Spectrum of Imaging Manifestations of Epithelioid Hemangioendothelioma.

Jang, Jong Keon; Thomas, Richard; Braschi-Amirfarzan, Marta; Jagannathan, Jyothi P · AJR Am J Roentgenol · 2020

review · Level V

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Abstract

<b>OBJECTIVE.</b> The purpose of this article is to review the spectrum of imaging manifestations of epithelioid hemangioendothelioma across different organ systems and briefly describe its current treatment strategies. <b>CONCLUSION.</b> Epithelioid hemangioendothelioma is a rare, locally invasive neoplasm with metastatic potential. Although most commonly occurring in liver, lungs, and bones, it can also present at multiple other sites. Because of its nonspecific clinical and imaging manifestations, it is often misdiagnosed. The possibility of epithelioid hemangioendothelioma must be considered in the presence of a slowly growing mass that invades adjacent structures. Imaging can help plan percutaneous biopsy, detect sites of disease, and identify poor prognostic factors.

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