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Mediastinal epithelioid hemangioendothelioma—Mimicker of mature teratoma

We report a case of an adult man who underwent surgical resection of a presumed anterior mediastinal teratoma, which upon histopathologic assessment was diagnosed as an epithelioid hemangioendothelioma (EHE). EHE is a rare vascular tumor of variable, but usually low malignant potential. Its occurren...

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Bibliographic Details
Published in:Radiology case reports 2019-11, Vol.14 (11), p.1420-1422
Main Authors: Semionov, Alexandre, Khairo, Mutaz
Format: Article
Language:English
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Summary:We report a case of an adult man who underwent surgical resection of a presumed anterior mediastinal teratoma, which upon histopathologic assessment was diagnosed as an epithelioid hemangioendothelioma (EHE). EHE is a rare vascular tumor of variable, but usually low malignant potential. Its occurrence in mediastinum is estimated at 1 in a million. As EHE often contains macroscopic fat and bone, it can be indistinguishable on imaging from mediastinal mature teratoma. Therefore, EHE should be included in differential diagnosis of fat and bone-containing mediastinal masses.
ISSN:1930-0433
1930-0433
DOI:10.1016/j.radcr.2019.09.014