Case Report
Primary Pulmonary Epithelioid Hemangioendothelioma: A Rare Cause of PET-Negative Pulmonary Nodules
Table 2
Review of the clinical, radiological and pathological features of the published cases of primary pulmonary epithelioid hemangioendothelioma.
| | Review of the literature | Our case report |
| Female/male ratio | 3 : 1 female | Male |
| Mean (SD) age | 40.1 (17.5) years | 67 years |
| Symptoms | Weight loss, fatigue, and respiratory symptoms (dyspnoea, chest pain, mild nonproductive cough, and mild haemoptysis) | Dyspnoea and dry cough |
| Chest radiography and computed tomography | Usually multiple bilateral pulmonary nodules | Multiple bilateral pulmonary nodules |
| PET | Positive | Negative |
| Metastatic sites | Lymph nodes, liver, bone, skin, serosal membranes, spleen, tonsils, retroperitoneum, kidney and central nervous system | Single spleen and liver metastatic nodules |
| Immunohistochemical features | Factor VIII von Willebrand factor+, CD31+, or CD34+ | Factor VIII von Willebrand factor+, CD31+, CD34+ |
| 5-year survival (%) | 60% | Alive for eight months then lost at the follow up |
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Obtained with the data from [4–18].
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