Key result
Pulmonary epithelioid hemangioendothelioma presented atypically in a 65-year-old male with a fatal outcome and multiple pulmonary nodules showing a CT halo sign from pulmonary hemorrhage.
This case report highlights that pulmonary epithelioid hemangioendothelioma can present atypically in older males with a CT halo sign due to pulmonary hemorrhage and result in a fatal outcome.
Atypical fatal PEH with CT halo sign may occur in older males; single case report leaves diagnostic spectrum and management questions open.
Pulmonary epithelioid hemangioendothelioma (PEH) is a rare low-grade malignant vascular tumor of minimal clinical expression in young women. Bilateral multiple pulmonary nodules, up to 2 cm in size, are typical CT findings. We describe an atypical case of PEH with a fatal outcome in a 65-year-old male, showing multiple pulmonary nodules with a typical CT halo sign by pulmonary hemorrhage.
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Choi et al. (2007) studied this question. Pulmonary epithelioid hemangioendothelioma presented atypically in a 65-year-old male with a fatal outcome and multiple pulmonary nodules showing a CT halo sign from pulmonary hemorrhage.
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