title: Multifocal Epithelioid Hemangioendothelioma of the Foot and Ankle Developing a Postoperative Infection-Long-term Outcome: A Case Report.
abstract: A case of rare epithelioid hemangioendothelioma with multiple foot and ankle lytic lesions in a 41-year-old male is reported. The patient presented to our hospital after having received treatment elsewhere and developing a local postoperative infection. After thorough investigations and establishing the diagnosis, we initially treated the local infection and highlighted the potential risk of malignancy. Finally, respecting the patient's wishes, he was treated with consideration mostly of the pending foot and ankle fractures rather than the risk of malignancy. At 9.5 years postoperatively, the patient was clinically well and asymptomatic, without clinical, laboratory, or radiologic signs of malignancy, and the previous infection might have even played a remote role in that outcome. A review of the published data regarding the treatment of this unpredictable neoplasm is also presented.
authors.affiliation: Colonel and Consultant, A' Department of Orthopaedics and Trauma Surgery, 424 Military General Hospital, Thessaloniki, Greece. Electronic address: ibisbinas@hotmail.com.
authors.forename: Ilias
authors.initials: I
authors.lastname: Bisbinas
authors.affiliation: Consultant, Department of Paediatrics, AHEPA General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.
authors.forename: Zacharoula
authors.initials: Z
authors.lastname: Karabouta
authors.affiliation: Captain and Consultant, A' Department of Orthopaedics and Trauma Surgery, 424 Military General Hospital, Thessaloniki, Greece.
authors.forename: Vasileios
authors.initials: V
authors.lastname: Lampridis
authors.affiliation: Lieutenant Colonel and Consultant, A' Department of Orthopaedics and Trauma Surgery, 424 Military General Hospital, Thessaloniki, Greece.
authors.forename: Dimitrios
authors.initials: D
authors.lastname: Georgiannos
authors.affiliation: Consultant, Department of Orthopaedics and Trauma, Metropolitan Hospital, Athens, Greece.
authors.forename: Athanasios
authors.initials: A
authors.lastname: Badekas
mesh_terms: D000328:Adult; D001859:Bone Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D005360:Fibula / Q000473:pathology* / Q000601:surgery; D018323:Hemangioendothelioma, Epithelioid / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D006801:Humans; D008297:Male; D010019:Osteomyelitis / Q000209:etiology; D011183:Postoperative Complications / Q000209:etiology; D013639:Tarsal Bones / Q000473:pathology* / Q000601:surgery; D013977:Tibia / Q000473:pathology* / Q000601:surgery
keywords: biopsy; fibula; immunohistochemical; magnetic resonance image; osteolytic lesion; vascular tumor