Metastatic pulmonary epithelioid hemangioendothelioma with peculiar radiographic features.
We report a case of a pulmonary epithelioid hemangioendothelioma presenting as a solitary pulmonary nodule with subsequent systemic spread, including histologically documented gingival metastasis. Chest radiography and computed tomography at initial evaluation showed a solitary 2 cm pulmonary nodule, associated with pleural indentation and vascular convergence. The tumor later spread systemically, including multiple pulmonary nodules, bilateral pleural effusions, and gingival swelling and erosion. A biopsy of the gingival lesion showed histologic features identical to that of the lung biopsy.
Nagata
N
N
Division of Respiratory Disease, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan.
Takatsu
H
H
Sato
Y
Y
Yoshimatsu
T
T
Urabe
M
M
Kido
M
M
D017809:Fatal Outcome; D005887:Gingival Neoplasms / Q000556:secondary; D018323:Hemangioendothelioma, Epithelioid / Q000000981:diagnostic imaging* / Q000556:secondary; D006801:Humans; D008175:Lung Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology; D008297:Male; D008875:Middle Aged; D011859:Radiography; D003074:Solitary Pulmonary Nodule / Q000000981:diagnostic imaging* / Q000473:pathology