Key result
Clinical observation of a recurrent spindle cell hemangioendothelioma over 26 years resulted in no metastasis or local functional problems despite the patient declining radical surgical resection.
Case Report (n=1)
This case demonstrates that spindle cell hemangioendothelioma can follow an indolent clinical course without metastasis or severe functional impairment over a prolonged period of observation.
May support observation for recurrent spindle cell hemangioendothelioma without deficits; leaves open optimal management strategies.
In this case study, a 33-year-old male presented initially to our clinic in 1989 with a soft tissue mass on his left posterior chest wall that had previously been debulked 3 times beginning in 1973. Pathology from these previous excisions confirmed a spindle cell hemangioendothelioma. Following the previous excisions, the mass recurred and slowly increased in size but did not cause any serious functional effects. At the patient’s first clinical visit with our plastic surgery team in 1989, we offered radical surgical resection of the mass, which was the standard of practice at the time. He declined radical resection. We have followed the patient clinically for over 26 years. Since presentation, the mass has not metastasized or caused any local functional problems.
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Flood et al. (2017) conducted a case report in Spindle cell hemangioendothelioma (n=1). Clinical observation (declined radical surgical resection) was evaluated on Metastasis or local functional problems. Clinical observation of a recurrent spindle cell hemangioendothelioma over 26 years resulted in no metastasis or local functional problems despite the patient declining radical surgical resection.
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