Why the study?
What is the appropriate management strategy for patients with hepatic epithelioid haemangioendothelioma?
What is the appropriate management strategy for patients with hepatic epithelioid haemangioendothelioma?
For hepatic epithelioid haemangioendothelioma, surveillance is appropriate for stable focal disease, whereas transplantation is indicated for diffuse disease with decompensation.
Supports individualized HEH management by pattern; leaves open prospective validation of transplant benefit.
These results support the role of surveillance alone for patients with focal and radiologically stable disease. Patients with diffuse HEH with hepatic decompensation should be considered for transplantation. However, numbers are small and an international registry is required to make firm comparisons.
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Thin et al. (2009) studied this question.
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