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Abstract

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Article in Japanese

Case Report

Pulmonary epithelioid hemangioendothelioma with multiple nodular shadows—A case report and a review of cases reported in the literature in Japan

Takeshi Kawanobe  Yumiko Ikubo  Kensuke Tanaka  Mika Suzuki  Chiyoko Kouno  Yoshihito Yamada 

Department of Respiratory Medicine, Japan Railway Tokyo General Hospital

ABSTRACT

A 56-year-old woman was referred to our department because of a chest imaging abnormality. Multiple well-defined nodular shadows of less than 1.0cm in diameter were observed in both lungs. Video-thoracoscopic lung biopsy was required to exclude a metastatic lung tumor, and the patient was diagnosed with pulmonary epithelioid hemangioendothelioma (PEH). There is no established treatment for PEH and patients with slowly progressive PEH, which often develops bilaterally in the lungs, are followed up without treatment in many cases. In addition, as this case illustrates, if patients present with multiple nodular shadows, it is critical to exclude a metastatic lung tumor. Herein, we report a case of PEH diagnosed on surgical lung biopsy and review the cases reported in the literature.

KEYWORDS

Pulmonary epithelioid hemangioendothelioma (PEH)  Epithelioid hemangioendothelioma (EHE)  Multiple nodular shadows  Metastatic lung tumor 

Received 24 May 2017 / Accepted 4 Sep 2017

AJRS, 7(1): 30-34, 2018

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