Key result
Wide excision without radius reconstruction followed by adjuvant radiotherapy resulted in no local recurrence or metastasis at 24 months follow-up in a 24-year-old man with bone epithelioid hemangioendothelioma.
Case Report (n=1)
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Wide excision followed by adjuvant radiotherapy was successful in treating a rare case of epithelioid hemangioendothelioma of the forearm with radius involvement without requiring bone reconstruction.
Epithelioid hemangioendothelioma (EHE) is a rare, well-differentiated endothelial tumor with intermediate malignancy which develops more frequently from the peripheral veins, generally in the lower limb. Bone EHE comprises less than 1% of the bone neoplasms. We present the case of a young man, 24-year-old, with EHE of the forearm with secondary involvement of the distal radius. The location and the extension of the tumor allowed a wide excision, without the reconstruction of radius, followed by adjuvant radiotherapy, with a subsequent favorable evolution. Based on the clinical, radiographic, and pathological features of the EHE review, we concluded that it is difficult to adopt a standardized therapeutic approach due to the extremely low incidence of the bone involvement in EHE and the variable tendencies towards malignancy of this tumor. To our knowledge this is the third case of EHE with the involvement of the radius.
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Gherman et al. (2011) conducted a case report in Epithelioid hemangioendothelioma of the forearm with radius involvement (n=1). Wide excision and adjuvant radiotherapy was evaluated on Local recurrence or metastasis. Wide excision without radius reconstruction followed by adjuvant radiotherapy resulted in no local recurrence or metastasis at 24 months follow-up in a 24-year-old man with bone epithelioid hemangioendothelioma.
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