Key result
Bone scintigraphy and 18F-FDG PET confirm the limited extent of distal lower limb epithelioid hemangioendothelioma.
Case Report (n=1)
18F-FDG PET and bone scintigraphy can effectively demonstrate the extent and activity of epithelioid hemangioendothelioma in bone.
May aid staging of rare bone tumors like epithelioid hemangioendothelioma; single-case data leave generalizability open.
We report the case of a 31-year-old woman with left foot bones located epithelioid hemangioendothelioma. It is a rare type of vascular tumor, locally aggressive with metastatic potential. It was revealed by a chronic isolated left foot pain. Conventional imaging showed multiple osteolytic lesions of the bones, appearing aggressive. Both bone scintigraphy and F-FDG PET showed an increased uptake of these lesions and confirmed the limited extent to distal extremity of the left lower limb. Final diagnosis was given on a surgical biopsy. Patient was treated by hyperthermic chemotherapy using isolated limb perfusion.
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Hubaut et al. (2018) conducted a case report in Epithelioid hemangioendothelioma (n=1). 18F-FDG PET and Bone Scintigraphy was evaluated on Diagnostic imaging findings. Both bone scintigraphy and 18F-FDG PET showed increased uptake in osteolytic lesions, confirming the limited extent of epithelioid hemangioendothelioma to the distal left lower limb.
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