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Rare disease
Case report
Hepatic epitheloid haemangioendothelioma: a rare malignant tumour
  1. Pernille Strecker Lund1,
  2. Gro Linno Willemoe2,
  3. Lasse Bremholm Hansen3 and
  4. Mads Warnecke4
  1. 1Surgery, Zealand University Hospital Koge, Koge, Denmark
  2. 2Pathology, Rigshospitalet, Kobenhavn, Denmark
  3. 3Gastroenterology, Zealand University Hospital Koge, Koge, Denmark
  4. 4Pathology, Zealand University Hospital Koge, Koge, Denmark
  1. Correspondence to Pernille Strecker Lund; pernillestreckerlund{at}gmail.com

Abstract

Our case concerns a 66-year-old man. After experiencing recurrent episodes of abdominal pain, an initial CT scan, ultrasound and gastroscopy was carried out. All of which showed normal findings.

As a consequence of persisting symptoms, another CT scan was performed. This scan revealed a hypodense area in the right lobe of the liver. This was interpreted as a possible haemangioma. Subsequent MRI scans indicated an intrahepatic cholangiocarcinoma. A final ultrasound-guided liver biopsy was performed and histology demonstrated epitheloid haemangioendothelioma, which was locally advanced and inoperable.

  • gastroenterology
  • hepatic cancer
  • transplantation
  • pathology

https://doi.org/10.1136/bcr-2019-232794

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    Footnotes

    • Contributors PSL: lead writer of the article. GLW and MW: immunohistochemical and molecular examination of biopsi, figures and figure text. Advice and review. LBH: initiator, advice and review.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.