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The Annals of Thoracic Surgery, Vol 49, 680-685, Copyright © 1990 by The Society of Thoracic Surgeons

ARTICLES

Mediastinal epithelioid hemangioendothelioma

B Toursarkissian, WN O'Connor and ML Dillon
Department of Surgery, Albert B. Chandler Medical Center, University of Kentucky, Lexington 40536.

An epithelioid hemangioendothelioma arising from the innominate vein in the anterior superior mediastinum of a 62-year-old man was treated by wide local excision followed by radiotherapy. This clinicopathologic entity is a rare cause of mediastinal mass and is characterized by an intermediate malignant potential. To our knowledge, very few cases have been reported in the mediastinum; those cases are listed in this report. Gross and microscopic distinguishing features of epithelioid hemangioendothelioma, as well as differential diagnosis, are reviewed from the literature. Finally, clinical behavior is discussed and treatment options are suggested.

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