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Multifocal epithelioid hemangioendothelioma in a 16-year-old boy

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Abstract

We report on a 16-year-old white male presenting with a 4-month history of syncopal episodes and occasional headaches. The CT and MRI studies revealed numerous lytic lesions of the skull base and cervical spine; subsequently, similar lesions were demonstrated in all areas of the skeleton, and CT showed numerous lesions in the lungs, liver, and kidneys. Excisional biopsy from several sites confirmed the diagnosis of epithelioid hemangioendothelioma. We conclude that epithelioid hemangioendothelioma should be added to the differential diagnosis for lytic lesions of bone that are clustered in the same anatomic region and that might also present with visceral involvement.

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Authors and Affiliations

  1. The Ohio State University College of Medicine, Columbus, OH, USA

    John Naheedy

  2. Department of Radiology, Children’s Hospital, 700 Children’s Drive, Columbus, OH, 43205, USA

    Brent Adler

  3. Department of Hematology and Oncology, Children’s Hospital, Columbus, OH, USA

    Nicholas Yeager

  4. Department of Anatomic and Clinical Pathology, Children’s Hospital, Columbus, OH, USA

    Kathleen Nicol

  5. Department of Orthopedics, Children’s Hospital, Columbus, OH, USA

    Jan Klamar

Authors
  1. Brent Adler
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  2. John Naheedy
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  3. Nicholas Yeager
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  4. Kathleen Nicol
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  5. Jan Klamar
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Corresponding author

Correspondence to Brent Adler.

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Adler, B., Naheedy, J., Yeager, N. et al. Multifocal epithelioid hemangioendothelioma in a 16-year-old boy. Pediatr Radiol 35, 1014–1018 (2005). https://doi.org/10.1007/s00247-005-1492-9

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  • DOI: https://doi.org/10.1007/s00247-005-1492-9

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