Long term follow up after resection emphasizes the role of surgery in Primary Hepatic Epithelioid Hemangioendothelioma.
BACKGROUND
Primary Hepatic Epithelioid Hemangioendothelioma is an extremely rare tumor of vascular origin.


METHODS
In this work we present clinical data and long term results of eight patients who were surgically treated in our institution. Liver transplantation was performed in five patients (four cadaveric and one living related) and major liver resection in three patients. Three patients are alive with recurrent tumor. After a median follow-up of 100 months (48-266) all patients are alive.


CONCLUSIONS
Only surgery can provide cure in HEH. If the extent of the disease prohibits primary resection liver transplantation might offer the most valuable option.
Department of General, Visceral and Transplantation Surgery, University Hospital Heidelberg, Germany.
Arianeb
A
Mehrabi
Department of General, Visceral and Transplantation Surgery, University Hospital Heidelberg, Germany.
Katrin
K
Hoffmann
Department of Gastroenterology, University Hospital Heidelberg, Germany.
Karl Heinz
KH
Weiss
Institute of Pathology, University Hospital Heidelberg, Germany.
Carolin
C
Mogler
Department of General, Visceral and Transplantation Surgery, University Hospital Heidelberg, Germany.
Peter
P
Schemmer
Department of General, Visceral and Transplantation Surgery, University Hospital Heidelberg, Germany.
Markus W
MW
Büchler
Department of General, Visceral and Transplantation Surgery, University Hospital Heidelberg, Germany.
Ingo
I
Alldinger
Epithelioid hemangioendothelioma; Liver; Surgery; Transplantation