Presentation
[…] after initial presentation. [ncbi.nlm.nih.gov]
A paranuclear pale zone in the cytoplasm may be present, but discrete ICLs are not identified. No INPIs or nuclear grooves are present. [academic.oup.com]
Entire Body System
- Pain
A course of radiotherapy at a dosage of 3,000 cGy delivered in individual doses of 200 cGy/day for 5 days/wk to the L3 and L4 vertebrae led to the disappearance of the patient's lumbar pain without any detectable side effects. [ncbi.nlm.nih.gov]
All patients in our series were symptomatic, with common complaints of chest pain and dyspnea. [doi.org]
- Swelling
A 46-year-old woman presented to our hospital due to pain and swelling in her right lower limb since 5 years prior to her presentation. The patient was misdiagnosed as having thrombosis by ultrasound. [ncbi.nlm.nih.gov]
X-ray [Figure 2] and computed tomography scan revealed soft tissue swelling with diffuse osteolysis of the femur, tibia and fibula. A tentative diagnosis of Gorham's syndrome was made. [e-ijd.org]
Extraoral examination revealed a diffuse swelling on the left side of the upper lip, with obliteration of the nasolabial fold and elevation of the philtrum. [jiaomr.in]
- Falling
Four years after turning the camera on herself, Carr turned her healing journey into a documentary called Crazy Sexy Cancer, which TLC bought in the fall of 2006. [sciam.com]
Signs and symptoms [ edit ] They have been described as masses that fall between a hemangioma and angiosarcoma. [en.wikipedia.org]
Cancers that derive from cells of mesodermal origin (the middle layer of tissue in between the ectoderm and endoderm; e.g., muscle, blood vessels, bone) are called sarcomas and EHE falls into this group. Sarcomas make up roughly 10% of all cancers. [cravatfoundation.org]
The recent World Health Organization (WHO 2002) classification has described EHE as lesions that fall into the category of locally aggressive tumors with metastatic potential [ 2, 3 ]. [omicsonline.org]
- Severe Pain
C omplications are dependent on the site and severity of the tumor. [dovemed.com]
Patients complaining severe respiratory symptoms (dyspnea, cough, chest pain, hemoptysis and alveolar hemorrhage), weight loss and anemia are also statistically worse, as well as those presenting pleural invasion and pleural effusion on chest X-ray at [ncbi.nlm.nih.gov]
- Surgical Procedure
If the lesion is not fully removed, then it might recur Embolization is used to provide temporary relief from the symptoms, and reduce blood loss during a surgical procedure Aggressive lesions may require critical management: Bone tumors may require the [dovemed.com]
On the fourth day following admission the patient suffered a haemorrhagic shock and underwent an emergency surgical procedure with a bleeding diverticulum on the posterior wall of the duodenum tightly adhering to the pancreas being found. [giornalechirurgia.it]
Respiratoric
- Aspiration
Fine-needle aspiration cytology of epithelioid hemangioendothelioma. Diagn Cytopathol. 1990 ; 6 : 438 – 439. 15. [academic.oup.com]
Here, we report a case diagnosed on fine needle aspiration and on a small surgical biopsy. In addition, we will review the literature. [ncbi.nlm.nih.gov]
However, no intracytoplasmic inclusions were seen in the aspiration smears. A few benign bile ductules were also noted. [cytojournal.com]
Skin
- Blister
Cytoplasmic vacuolation (some cells) - AKA "blister cells" - key feature. May form lumen and have RBC within. Vesicular nucleus with prominent nucleolus in some cells. Tuft-like projections into capillaries. [librepathology.org]
They often possess intracytoplasmic vacuoles, referred to as 'blister' or 'signet ring' cells. High-power examination shows slightly misshapen mildly hyperchromatic nuclei with inconspicuous nucleoli. [ncbi.nlm.nih.gov]
The tumor cells form small intracellular lumen, which are seen as clear spaces, or “vacuoles” that distort or “blister” the cell. [ispub.com]
The cells have a pale to more densely eosinophilic cytoplasm containing vacuoles, which deform the cytoplasm, so-called ‘blister cells’. Some vacuoles contain fragmented erythrocytes. [nature.com]
Psychiatrical
- Suggestibility
While the cytologic features were suggestive of EHE, the aggressive nature of the neoplasm, with disseminated pleuropulmonary involvement, raised the question of whether the neoplasm should be classified as EHE or epithelioid angiosarcoma. [ncbi.nlm.nih.gov]
A transvaginal 4.0 to 8.0 MHz probe can show the blood flow within the mass, suggesting that other probes, such as L12–5 or intracavitary probe, may be more sensitive to blood flow. [journals.lww.com]
Workup
Therefore, preoperative diagnostic workup is of utmost importance to differentiate it from other primary and metastatic tumors of the liver. [bib.irb.hr]
Treatment
Your child’s treatment depends on the size and location of the tumor and whether there are multiple tumor sites. In rare cases, the tumor may shrink or go away without treatment. If not, there are multiple treatment options available. [childrenshospital.org]
"Treatment of hepatic epithelioid hemangioendothelioma: a single-institution experience with 25 cases.". Arch Surg 144 (11): 1035-9. doi : 10.1001/archsurg.2009.121. [librepathology.org]
The patient was refractory to anthracycline and Interferon treatment and died 6.5 months after the diagnosis. [ncbi.nlm.nih.gov]
Prognosis
The clinical pathological features and effects of treatment on prognosis were investigated. [ncbi.nlm.nih.gov]
The prognosis is often favorable, particularly for low-grade lesions where complete excision is performed. However local recurrence or even metastasis are possible. [humpath.com]
Because of its heterogeneous presentation, as it represents less than 1% of all the vascular tumors, it is often misdiagnosed and not suitably treated, leading to a poor prognosis in some cases. Over 50-76% of the patients are asymptomatic. [oncologyreviews.org]
The tumour has a good overall prognosis but local recurrences and distant metastases can develop. [histopathology-india.net]
Chemotherapy - not standardized. [3] Liver transplantation. [5] Prognosis - liver: ~55% five-year survival. [4] Better than other liver tumours. [librepathology.org]
Etiology
Its etiology is still unclear. It frequently involves the lungs, liver, and bones. Rarely, it may manifest in other parts of the body. Pathologic immunohistochemical investigations are essential to make the definite diagnosis. [ncbi.nlm.nih.gov]
The etiology is still a dilemma. Studies about suggestive hypothesis are ongoing. [oncologyreviews.org]
Epidemiology
Epidemiology [ edit ] It is so rare that only 0.01 percent of the cancer population has it and it affects about 1 person in every 1,000,000 worldwide. [4] Around 20 cases are diagnosed in America every year – the cause is unknown. [5] It is unresponsive [en.wikipedia.org]
Journal Journal ID (nlm-ta): Pan Afr Med J Journal ID (iso-abbrev): Pan Afr Med J Journal ID (publisher-id): PAMJ Title: The Pan African Medical Journal Publisher: The African Field Epidemiology Network ISSN (Electronic): 1937-8688 Publication date (Electronic [scienceopen.com]
Pathophysiology
It can present at any age but most commonly presents in the fourth and fifth decades.[ 3 ] A slight overall predilection for females has been reported, however, the majority of intracranial cases have occurred in males.[ 3 ] The pathophysiology of tumor [surgicalneurologyint.com]
© 2006 American Cancer Society Citing Literature Number of times cited according to CrossRef: 194 Stephen Lawrence Thorp, Pathophysiology of Cancer Pain, Essentials of Interventional Cancer Pain Management, 10.1007/978-3-319-99684-4_3, (13-17), (2018 [doi.org]
Prevention
The TAZ–CAMTA1 fusion transcript is insensitive to the Hippo inhibitory signals that normally prevent this process and thus constitutively activates the TAZ transcriptome. [mdpi.com]
Other treatments include chemotherapy, radiation therapy and/or other special targeted medications that may be useful in shrinking the tumors and preventing their growth or spread. [nicklauschildrens.org]
In these cases, remaining tumors may require further therapy and can come back after treatment Medication management : A customized drug therapy plan can help relieve symptoms and prevent further growth of tumors that can’t be completely removed with [childrenshospital.org]
Current medical research have not established a way of preventing Epithelioid Hemangioendothelioma formation Regular medical screening at periodic intervals with blood tests, radiological scans, and physical examinations are mandatory for those, who have [dovemed.com]