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Lung Pathology: Chest Tumors |

Epithelioid Hemangioendothelioma of the Pericardium Presenting With Hemoptysis and Dyspnea: A Case Report and Literature Review

Shaoqiang Li, MA; Chunli Liu, PhD; Cheng Hong, PhD; Nuofu Zhang, PhD
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Guangzhou Institute of Respiratory, Guangzhou, China


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;149(4_S):A341. doi:10.1016/j.chest.2016.02.355
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SESSION TITLE: Chest Tumors

SESSION TYPE: Case Report Poster

PRESENTED ON: Sunday, April 17, 2016 at 11:45 AM - 12:45 PM

INTRODUCTION: Epithelioid hemangioendothelioma (EHE) is a rare malignant cancer of vascular origin that can mainly affect multiple tissue sites in one or multiple organs. It is hard for us to judge where are the primary lesion. A subtype of EHE, pulmonary epithelioid hemangioendothelioma (PHE), is more unusual with about 210 reported cases. Of these, no cases have been classified as heart or pericardium in origin. Here we add to this knowledge-base with a report of an unusual case of pericardium EHE and tumor metastasis to the left lower lobe with the hemoptysis and dyspnea, pericardial effusion. He was repeatedly treated for fungal infection and tuberculosis with symptoms aggravated gradually. A high index of suspicion is needed to reduce the risk of missing or delaying the diagnosis.

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