Key result
Thoracoscopy diagnoses pleural epithelioid haemangioendothelioma after spontaneous bilateral haemothorax.
Case Report (n=1)
This case highlights that spontaneous bilateral haemothorax can be a rare presentation of primary pleural epithelioid haemangioendothelioma, diagnosable via thoracoscopy.
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Spontaneous bilateral haemothorax may signal rare pleural tumors; this second case leaves open optimal diagnostic and management strategies.
Pleural epithelioid haemangioendothelioma (EHE) is a rare tumour that originates in the vascular endothelium with an intermediate degree of malignancy between haemangioma and angiosarcoma. Smoking and asbestos exposure are unproven risk factors and diagnosis is usually confirmed by thoracoscopy, since pleural fluid (PF) cytology is often not conclusive. Immunohistochemistry can also help to confirm the diagnosis. We report an 85-year-old patient with bilateral pleural EHE diagnosed by thoracoscopy, who debuted with a spontaneous bilateral haemothorax, the second described so far, and we conducted a thorough review of the literature to describe the clinical, radiological and prognostic features, as well as the PF, of this rare tumour.
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Ferreiro et al. (2015) conducted a case report in Pleural epithelioid haemangioendothelioma (n=1). Thoracoscopy was evaluated on Diagnosis of pleural EHE. An 85-year-old patient was diagnosed with bilateral pleural epithelioid haemangioendothelioma by thoracoscopy after presenting with a rare spontaneous bilateral haemothorax.
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