Key result
VATS with decortication and biopsy successfully diagnoses rare pleural epithelioid hemangioendothelioma presenting as recurrent effusion.
Why the study?
Pleural epithelioid hemangioendothelioma is a rare vascular malignancy, and lack of suspicion often leads to delayed diagnosis.
Case Report (n=1)
No
Pleural epithelioid hemangioendothelioma is a rare vascular malignancy that can present with chest pain, dyspnea, and specific imaging findings including loculated pleural effusion and pleural thickening.
Supports VATS biopsy consideration in atypical recurrent effusions; leaves open optimal diagnostic and therapeutic strategies for this rare entity.
Pleural epithelioid hemangioendothelioma (EHE) is a rare malignancy of vascular origin. It can affect various organs; pleural involvement is rare and lack of suspicion leads to delay in diagnosis. We present a case of pleural EHE with metastasis to lung parenchyma that presents with chest pain and dyspnea. Chest imaging showed loculated pleural effusion, pleural thickening, mediastinal lymphadenopathy, and pulmonary nodules.
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Pathak et al. (2023) conducted a case report in Pleural Epithelioid Hemangioendothelioma (EHE) (n=1). Video-assisted thoracoscopic surgery (VATS) with decortication and pleural biopsy was evaluated on Diagnosis of pleural EHE and symptomatic improvement. VATS with decortication and pleural biopsy successfully diagnosed a rare case of pleural epithelioid hemangioendothelioma in a 73-year-old female presenting with recurrent pleural effusion.
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