Epithelioid Hemangioendothelioma of the Lower Limb, Discovered by a Claudication

Ann Vasc Surg. 2021 Apr:72:665.e1-665.e4. doi: 10.1016/j.avsg.2020.10.017. Epub 2020 Nov 21.

Abstract

Epithelioid hemangioendothelioma (EHE) is a rare case of a tumor with different clinical behaviors and a difficult anatomopathological diagnosis. The diagnosis of EHE is usually confirmed by postoperative histopathologic examination. Actually, it is a challenge to put a correct diagnosis and to propose aggressive treatment. We report a case of an EHE of the left lower limb discovered in a 53-year-old claudicant woman. Surgical resection, arterial, and venous bypass were performed. The histology demonstrated EHE with a low mitotic index, emerging for the femoral vein.

Publication types

  • Case Reports

MeSH terms

  • Chemotherapy, Adjuvant
  • Constriction, Pathologic
  • Female
  • Femoral Artery / diagnostic imaging*
  • Femoral Vein / diagnostic imaging*
  • Femoral Vein / pathology
  • Femoral Vein / surgery
  • Hemangioendothelioma, Epithelioid / complications
  • Hemangioendothelioma, Epithelioid / diagnostic imaging*
  • Hemangioendothelioma, Epithelioid / pathology
  • Hemangioendothelioma, Epithelioid / surgery
  • Humans
  • Intermittent Claudication / diagnostic imaging*
  • Intermittent Claudication / etiology
  • Middle Aged
  • Peripheral Arterial Disease / diagnostic imaging*
  • Peripheral Arterial Disease / etiology
  • Treatment Outcome
  • Vascular Neoplasms / complications
  • Vascular Neoplasms / diagnostic imaging*
  • Vascular Neoplasms / pathology
  • Vascular Neoplasms / surgery
  • Vascular Surgical Procedures