Small, incidental hepatic epithelioid haemangioendothelioma the role of ablative therapy in borderline patients. Issue 8 (20th August 2018)

• Record Type: Journal Article
• Authors: Kamarajah, Sivesh K; Robinson, Daniel; Littler, Pete; White, Steven A
• Is Part Of: Journal of surgical case reports. Issue 8(2018)
• Publication Date: 2018-08-20
• Subjects: Surgery -- Periodicals; Surgery -- Case studies -- Periodicals; 617.005
• DOI: 10.1093/jscr/rjy223
• Languages: English
• ISSNs: 2042-8812

Abstract

Abstract: Primary hepatic epithelioid hemangioendothelioma (HEHE) is an extremely rare tumor of vascular origin with an incidence of <0.1 per 100 000 population. We describe a 70-year-old man with renal cell carcinoma managed via robotic right partial nephrectomy who was also found to have a solitary 10 mm lesion on a pre-operative staging computer tomography (CT) scan. The patient underwent percutaneous biopsy and local ablation of the lesion consistent with an epithelioid hepatic haemangioendothelioma. Post-procedure CT scan after 1 month showed adequate ablation margins with no new lesions. The role of local ablation for solitary, small HEHE is discussed.