Hemorrhage from metastatic brain epithelioid hemangioendothelioma: A case report

Author:

Fusegawa Tatsuya1,Tomita Takahiko1,Okuno Noriko1,Akai Takuya1ORCID,Kuroda Satoshi1ORCID

Affiliation:

1. Department of Neurosurgery and Pathology Graduate School of Medicine and Pharmaceutical Sciences, University of Toyama Toyama Japan

Abstract

In this report, we describe a very rare case of metastatic epithelioid hemangio‐endothelioma (EHE) originating from other organs such as the lung and requiring craniotomy due to subsequent hemorrhage. A 50‐year‐old man was diagnosed with EHE in the bilateral lungs, the mediastinum, and the right adrenal gland 8 years earlier. One year earlier, he had developed spinal metastasis. Six months earlier, a screening brain MRI had revealed multiple brain metastases of tumor. He developed subcortical hemorrhage from the tumor in the right parietal lobe and successfully underwent removal of hematoma and tumor. Histopathological examinations revealed EHE. Metastatic EHE is very rare but may be at high risk of intracranial hemorrhage. It is quite important to consider the possibility of brain metastasis and subsequent bleeding when treating patients with EHE.

Publisher

Wiley

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