Limb salvage in epithelioid sarcoma like hemangioendothelioma invading femur mid shaft: a case report

  • Dr. Pramod S. Chinder M.S (Ortho), Fellow in musculoskeletal oncology, Consultant Orthopaedic Oncosurgeon, M.S. Ramaiah Medical College, Bangalore, Healthcare Global Enterprises Ltd. Bangalore, India
  • Dr. Bheemsingh Samorekar MBBS, Ortho, Resident in Department of Orthopaedics, M.S. Ramaiah Medical College, Bangalore, India
  • Dr. Naveen Krishnamoorthy M.D (Pathology), Consultant Pathologist, Healthcare Global Enterprises Ltd., Bangalore, India
  • Dr. Rangaswamy B.T. MBBS, Bangalore, India
Keywords: Epithelioid Sarcoma Likehemangioendothelioma, Femur, Immunohistochemistry, Limb Salvage

Abstract

Epithelioid sarcoma like hemangioendothelioma (ES-H) is recently added vascular soft tissue tumor in WHO list, with high propensity for infiltrative growth, local recurrence and low metastatic potential. We present a twenty year old male with right mid thigh swelling with pain since five months whose x-rays showed osteolytic, scalloped lesions of mid shaft femur. On workup was diagnosed ES-H for which wide excision of tumor was done and limb salvaged with biological reconstruction using free vascularised fibula.

Downloads

Download data is not yet available.

References

1. Hornick JL, Fletcher CDM. Pseudomyogenic hemangioendothelioma: a distinctive, often multicentric tumor with indolent behavior. Am J Surg Pathol [Internet]. 2011 Mar;35(2):190–201.

2. Karakasli A, Karaaslan A, Erduran M, Capkin S, Tuna EB, Havitcioglu H. Pseudomyogenic (Epithelioid sarcoma-like) hemangioendothelioma with bone invasion. J Orthop [Internet]. Elsevier Ltd; 2014;11(4):197–9. [PubMed]

3. Billings SD, Folpe AL, Weiss SW. Epithelioid sarcoma-like hemangioendothelioma. Am J Surg Pathol. 2003;27(1):48–57. [PubMed]

4. Watabe A, Okuyama R, Hashimoto A, Hosaka M, Hatori M, Kariya Y, et al. Epithelioid sarcoma-like haemangioendothelioma: A case report. Acta Derm Venereol. 2009;89(2):208–9. [PubMed]

5. Tokyol C, Uzüm N, Kuru I, Uluoglu O. Epithelioid sarcoma-like hemangioendothelioma. 2005;(18):436–9. [PubMed]

6. Amary MF, O’Donnell P, Berisha F, Tirabosco R, Briggs T, Pollock R, et al. Pseudomyogenic (epithelioid sarcoma-like) hemangioendothelioma: Characterization of five cases. Skeletal Radiol. 2013;42(7):947–57.

7. Miettinen M, Fanburg-Smith JC, Virolainen M, Shmookler BM, Fetsch JF. Epithelioid sarcoma: An immunohistochemical analysis of 112 classical and variant cases and a discussion of the differential diagnosis. Hum Pathol. 1999;30(8):934–42. [PubMed]

8. Requena L, Kutzner H. Hemangioendothelioma. Semin Diagn Pathol. 2013;30(1):29–44. [PubMed]

9. Friel NA, Rothenberg AC, Weiss K. Pseudomyogenic Hemangioendothelioma of Bone Initially Managed as Slipped Capital Femoral Epiphysis : A Case Report. 2014;(April):363–8.

10. McGinity M, Bartanusz V, Dengler B, Birnbaum L, Henry J. Pseudomyogenic hemangioendothelioma (epithelioid sarcomalike hemangioendothelioma, fibroma-like variant of epithelioid sarcoma) of the thoracic spine. Eur Spine J. 2013;22(SUPPL.3):506–11.
Limb salvage in epithelioid sarcoma like hemangioendothelioma invading femur mid shaft: a case report
CITATION
DOI: 10.17511/ijmrr.2015.i8.168
Published: 2015-09-30
How to Cite
1.
S. Chinder P, Samorekar B, Krishnamoorthy N, B.T. R. Limb salvage in epithelioid sarcoma like hemangioendothelioma invading femur mid shaft: a case report. Int J Med Res Rev [Internet]. 2015Sep.30 [cited 2024Nov.8];3(8):906-13. Available from: https://ijmrr.medresearch.in/index.php/ijmrr/article/view/342
Section
Case Report