Spontaneous Bilateral Hemothorax as a Case of Epithelioid Hemangioendothelioma (EHE)

<div>Epithelioid cells with pleomorphic nuclei: some with prominent nucleoli and intracytoplasmic vacuolization (arrows) (<span class="nowrap"><svg height="9.11633pt" id="M3" style="vertical-align:-0.3499298pt" version="1.1" viewbox="-0.0498162 -8.7664 65.2824 9.11633" width="65.2824pt" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink"><g transform="matrix(.013,0,0,-0.013,0,0)"><path d="M729 650H468V622C546 615 554 610 554 527V365H213V527C213 610 221 616 297 622V650H38V622C120 616 128 611 128 527V123C128 39 120 34 40 28V0H303V28C221 34 213 40 213 123V322H554V123C554 39 546 34 460 28V0H728V28C647 34 639 39 639 123V527C639 610 647 615 729 622V650Z"></path></g><g transform="matrix(.013,0,0,-0.013,9.995,0)"><path d="M717 427H488V399C559 390 569 378 549 331C530 287 513 253 489 216C425 282 354 343 321 371C360 397 383 416 402 432C423 450 444 479 444 520C444 600 377 658 296 658C208 658 132 590 132 500C132 446 159 403 204 361C119 300 54 260 54 167C54 80 125 -14 251 -14C323 -14 389 22 461 118C494 84 536 37 548 23C560 10 615 -13 670 -18L677 -9C647 49 556 150 514 191C549 244 573 285 601 324C634 373 647 391 717 399V427ZM285 624C335 624 369 576 369 519C369 465 342 426 295 391C235 437 204 472 204 524C204 584 239 624 285 624ZM278 54C212 54 139 100 139 196C139 245 164 292 230 339C321 265 385 204 438 145C405 99 345 54 278 54Z"></path></g><g transform="matrix(.013,0,0,-0.013,19.317,0)"><path d="M517 162C503 123 484 88 467 68C445 42 417 34 341 34C291 34 256 34 237 47C219 59 213 81 213 128V317H308C395 317 402 311 415 240H444V431H415C403 364 398 356 307 356H213V584C213 613 215 616 246 616H322C394 616 421 609 435 587C448 566 458 544 467 502L496 506C493 557 488 625 488 650H42V622C120 616 128 612 128 523V125C128 43 120 35 29 28V0H511C520 31 540 125 546 158L517 162Z"></path></g><g transform="matrix(.013,0,0,-0.013,29.634,0)"><path d="M528 54L331 254L528 455L492 493L294 291L96 493L60 455L257 254L60 54L96 16L294 217L492 16L528 54Z"></path></g><g transform="matrix(.013,0,0,-0.013,40.17,0)"><path d="M456 178V225H360V632H320C217 496 115 347 20 206V178H280V106C280 40 276 34 189 27V0H445V27C364 34 360 39 360 106V178H456ZM280 225H82C149 335 214 431 278 520H280V225Z"></path></g><g transform="matrix(.013,0,0,-0.013,46.411,0)"><path d="M241 635C89 635 35 457 35 312C35 153 89 -12 240 -12C390 -12 443 166 443 312C443 466 390 635 241 635ZM238 602C329 602 354 454 354 312C354 172 330 22 240 22C152 22 124 173 124 313S148 602 238 602Z"></path></g><g transform="matrix(.013,0,0,-0.013,52.651,0)"><path d="M241 635C89 635 35 457 35 312C35 153 89 -12 240 -12C390 -12 443 166 443 312C443 466 390 635 241 635ZM238 602C329 602 354 454 354 312C354 172 330 22 240 22C152 22 124 173 124 313S148 602 238 602Z"></path></g><g transform="matrix(.013,0,0,-0.013,58.891,0)"><path d="M474 0V26C414 34 401 43 364 100L267 248C300 297 324 332 345 358C381 400 394 405 455 411V437H272V411C316 406 323 401 305 370C287 337 267 306 247 276L188 369C169 397 173 405 215 411V437H16V411C71 404 83 396 114 348L201 212C171 167 144 127 116 92C77 42 66 34 4 26V0H190V26C139 34 136 43 156 77C175 113 198 150 220 183L294 66C311 39 302 31 260 26V0H474Z"></path></g></svg>).</span></div>

Case Reports in Oncological Medicine

fig9

Figure 9

Figure 9: Spontaneous Bilateral Hemothorax as a Case of Epithelioid Hemangioendothelioma (EHE) 