SURGICAL TREATMENT OF PRIMARY HEPATIC EPITHELIOID HEMANGIOENDOTHELIOMA

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MEHRABI A.; KASHFI A.; FONOUNI H.R.; SCHEMMER P.; FRIESS H.; SCHMIDT J.; BUCHLER M.W.; KRAUS T.; JURGEN W.; ENCKE J.; SAUER P.

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Journal: Iranian Journal of Surgery Year:2005 | Volume:13 | Issue:2 (35) Page(s): 28-35

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Title

SURGICAL TREATMENT OF PRIMARY HEPATIC EPITHELIOID HEMANGIOENDOTHELIOMA

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Keywords

HEPATIC EPITHELIOID HEMANGIOENDOTHELIOMAQ4

LIVER TRANSPLANTATIONQ4

LIVER RESECTIONQ4

SURGICAL TREATMENTQ4

Abstract

Introduction & Objective: Epithelioid hemangioendothelioma (EH) is a very rare tumor of vascular origin. It can develop in different tissues such as soft tissue, lung or liver. HEPATIC EPITHELIOID HEMANGIOENDOTHELIOMA (HEH) mostly affects females. The malignant potential of HEH often remains unclear in the individual patient. It can range from benign hemangioma to malignant hemangioendotheliosarcoma.Materials & Methods: Here we present our experience with five patients with primary HEH, which were treated with curative intention in our department.Results: All patients in our series with confirmed histological HEH did not show extrahepatic extension and consequently underwent SURGICAL TREATMENT. In 3 patients LIVER TRANSPLANTATION (LTx) was performed (two cadaveric and one living related). In one patient a right sided hemihepatectomy with partial resection of the diaphragm was performed. One patient died while on the waiting list for LTx due to rapid tumor progression. Postoperative follow-up ranged from 1 to 13-years. No adjuvant chemotherapy was applied. Until now, no recurrence of local tumor, nor distant metastases could be observed during follow up in our series.Conclusions: Early detection and surgical intervention in cases of HEH can potentially offer curative treatment. The treatment of first choice appears to be radical LIVER RESECTION. In our view, LTx represents a potentially important option for patients with a non-resectable tumor. Despite the long waiting time, its often unclear dignity, and a proven progressive growth pattern, living related LTx also plays a potentially important role. The 5-year overall survival rate of patients with HEH in the literature varies from 43% to 55%. Long term survival of patients with HEH is significantly higher compared to other hepatic malignancies. The role of adjuvant therapy currently remains unclear.

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APA: Copy

MEHRABI, A., KASHFI, A., FONOUNI, H.R., SCHEMMER, P., FRIESS, H., SCHMIDT, J., BUCHLER, M.W., KRAUS, T., JURGEN, W., ENCKE, J., & SAUER, P.. (2005). SURGICAL TREATMENT OF PRIMARY HEPATIC EPITHELIOID HEMANGIOENDOTHELIOMA. IRANIAN JOURNAL OF SURGERY, 13(2 (35)), 28-35. SID. https://sid.ir/paper/112885/en

Vancouver: Copy

MEHRABI A., KASHFI A., FONOUNI H.R., SCHEMMER P., FRIESS H., SCHMIDT J., BUCHLER M.W., KRAUS T., JURGEN W., ENCKE J., SAUER P.. SURGICAL TREATMENT OF PRIMARY HEPATIC EPITHELIOID HEMANGIOENDOTHELIOMA. IRANIAN JOURNAL OF SURGERY[Internet]. 2005;13(2 (35)):28-35. Available from: https://sid.ir/paper/112885/en

IEEE: Copy

A. MEHRABI, A. KASHFI, H.R. FONOUNI, P. SCHEMMER, H. FRIESS, J. SCHMIDT, M.W. BUCHLER, T. KRAUS, W. JURGEN, J. ENCKE, and P. SAUER, “SURGICAL TREATMENT OF PRIMARY HEPATIC EPITHELIOID HEMANGIOENDOTHELIOMA,” IRANIAN JOURNAL OF SURGERY, vol. 13, no. 2 (35), pp. 28–35, 2005, [Online]. Available: https://sid.ir/paper/112885/en

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