Epithelioid hemangioendothelioma of the spine. Report of two cases.
Authors
Aquilina, KristianLim, Christopher
Kamel, Mahmoud Hamdy
Marks, Charles J
O'Sullivan, Michael G
Keohane, Catherine
Affiliation
Department of Neurosurgery, Cork University Hospital, Wilton, Cork, Republic of, Ireland. kristianaquilina@hotmail.comIssue Date
2012-02-03T15:06:19ZMeSH
AdolescentBone Screws
Cervical Vertebrae/pathology
Fatal Outcome
Hemangioendothelioma, Epithelioid/pathology/*surgery
Humans
Low Back Pain/etiology
Male
Middle Aged
Neoplasm Metastasis
Spinal Neoplasms/pathology/*surgery
Thoracic Vertebrae/pathology
Vertebral Artery/pathology
Metadata
Show full item recordCitation
J Neurosurg Spine. 2005 Nov;3(5):393-9.Journal
Journal of neurosurgery. SpineDOI
10.3171/spi.2005.3.5.0393PubMed ID
16302636Abstract
Epithelioid hemangioendothelioma (EH) is a rare tumor of vascular origin. The authors describe two cases of spinal EH, one involving the T-10 vertebra and the second involving the upper cervical spine. In the first case the patient underwent resection of the tumor; this case represents the longest reported follow-up period for spinal EH. In the second case, extensive involvement of C-2, C-3, and C-4 as well as encasement of both vertebral arteries precluded safe tumor resection, and posterior occipitocervical stabilization was performed. The patient subsequently died of metastatic disease. The findings in these two cases underscore the difficulty in predicting the clinical behavior of spinal EH based solely on histological and clinical features as well as the uncertainty of the roles of surgery, chemotherapy, and radiotherapy in the oncological management of a spinal tumor for which clinical data are very limited.Language
engISSN
1547-5654 (Print)1547-5646 (Linking)
ae974a485f413a2113503eed53cd6c53
10.3171/spi.2005.3.5.0393
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