Hepatic Epithelioid Hemangioendothelioma and the Danger of Misdiagnosis: Report of a Case
| Autor: | Andreas Chrysochos, Menelaos Dietis, Charalampos Andreou, Nikolas Charalambous, Christos Petridis, Athanasios Petrou, Kyriakos Neofytou |
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| Jazyk: | angličtina |
| Rok vydání: | 2013 |
| Předmět: |
Histopathology department
Pathology medicine.medical_specialty medicine.diagnostic_test business.industry Normal laboratory Case Report Chronic liver disease medicine.disease lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens Hepatic Epithelioid Hemangioendothelioma lcsh:RC254-282 digestive system diseases Oncology Liver biopsy Hepatocellular carcinoma Biopsy Medicine business Liver function tests |
| Zdroj: | Case Reports in Oncological Medicine, Vol 2013 (2013) Case Reports in Oncological Medicine |
| ISSN: | 2090-6714 2090-6706 |
| Popis: | Malignant hepatic epithelioid hemangioendothelioma (HEHE) is a rare malignant tumor of vascular origin. Nonspecific symptoms and the absence of experience of surgeons, radiologists, and histopathologists due to the rarity of HEHE make the diagnosis of this entity very challenging. Misdiagnosis is not a rare event, and the consequences of such an event are catastrophic. We report a case of a patient suffering from HEHE in which the initial diagnosis was hepatocellular carcinoma (HCC). The presence of normal laboratory values, liver function tests, tumor markers along with the absence of a chronic liver disease, or any other predisposing factors for HCC, was in contrast with the diagnosis of HCC. Clinical suspicion drove us to the repetition of a liver biopsy and the reevaluation of the sample by a more experience histopathology department in liver tumors. The last biopsy confirmed the diagnosis of HEHE, and the patient escaped any unnecessary treatment for a nonexisting HCC. |
| Databáze: | OpenAIRE |
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