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Tytuł:
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A case of recurrent hepatic haemangioendothelioma.
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Autorzy:
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Kuan LL; Department of Hepatobiliary and Pancreatic Surgery, University Hospitals of Leicester NHS Trust, Leicester, UK.; The University of Adelaide, The Queen Elizabeth Hospital, Adelaide, Australia.
Tan LT; Department of Hepatobiliary and Pancreatic Surgery, University Hospitals of Leicester NHS Trust, Leicester, UK.
Jepson S; Department of Radiology, University Hospitals of Leicester NHS Trust, Leicester, UK.
Pollard C; Department of Hepatobiliary and Pancreatic Surgery, University Hospitals of Leicester NHS Trust, Leicester, UK.
Dennison AR; Department of Hepatobiliary and Pancreatic Surgery, University Hospitals of Leicester NHS Trust, Leicester, UK.
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Źródło:
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Annals of the Royal College of Surgeons of England [Ann R Coll Surg Engl] 2020 Nov; Vol. 102 (9), pp. e1-e3. Date of Electronic Publication: 2020 Jul 31.
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Typ publikacji:
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Case Reports; Journal Article
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Język:
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English
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Imprint Name(s):
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Original Publication: London : Royal College of Surgeons of England
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MeSH Terms:
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Hemangioendothelioma/*diagnosis
Liver Neoplasms/*diagnosis
Neoplasm Recurrence, Local/*diagnosis
Female ; Hemangioendothelioma/diagnostic imaging ; Hemangioendothelioma/pathology ; Hemangioendothelioma/surgery ; Hepatectomy ; Humans ; Liver Neoplasms/diagnostic imaging ; Liver Neoplasms/pathology ; Liver Neoplasms/surgery ; Middle Aged ; Neoplasm Recurrence, Local/diagnostic imaging ; Neoplasm Recurrence, Local/pathology ; Tomography, X-Ray Computed
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References:
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Mod Pathol. 2014 Jan;27 Suppl 1:S30-8. (PMID: 24384851)
Cancer. 1982 Sep 1;50(5):970-81. (PMID: 7093931)
Transplantation. 2017 Mar;101(3):555-564. (PMID: 28212256)
Cancer. 1996 Dec 1;78(11):2318-27. (PMID: 8941001)
Cancer. 2006 Nov 1;107(9):2108-21. (PMID: 17019735)
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Contributed Indexing:
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Keywords: Haemangioendothelioma; Hepatic; Liver; Recurrent
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Entry Date(s):
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Date Created: 20200801 Date Completed: 20201111 Latest Revision: 20211102
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Update Code:
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20240104
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PubMed Central ID:
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PMC7591597
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DOI:
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10.1308/rcsann.2020.0150
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PMID:
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32735126
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Hepatic haemangioendothelioma is a rare (1:1,000,000) mesenchymal tumour of the liver of vascular origin. Metastatic malignancies, other primary liver tumours and cholangiocarcinomas all have significantly worse prognoses and may mimic hepatic haemangioendothelioma. Hence, careful pathological assessment with appropriate tumour markers and immunohistochemistry are essential. We present a rare case of recurrence of hepatic haemangioendothelioma after 10 years post-hemihepatectomy. Surgical approaches include liver resection, liver transplantation and ablative techniques with chemotherapy and radiotherapy reserved for patients where a surgical approach is not possible. Hepatic haemangioendothelioma has an unpredictable course that is generally indolent and it is associated with a significantly better long-term survival. Consequently, it is important that these tumours are recognised and the approach to the diagnosis should be methodical. Owing to the protracted course of the disease, a prolonged duration of surveillance and an aggressive approach towards disease recurrence are essential for long-term survival.