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Primary pseudomyogenic haemangioendothelioma of bone: report of two cases

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Abstract

Pseudomyogenic haemangioendothelioma (epithelioid sarcoma-like haemangioendothelioma) is a recently described, rarely metastasising neoplasm of the soft tissues that often presents as multiple discontinuous nodules in different tissue planes of a limb. This tumour type is extremely difficult to diagnose because no morphological evidence suggestive of endothelial differentiation is present to confirm a radiological suspicion of vascular neoplasm. All but one case published in the literature underline that bone involvement is secondary to deep and superficial soft tissue nodules. Here, we report two cases of primary bone pseudomyogenic haemangioendothelioma occurring in the radius and cuboid bone with a multifocal presentation.

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References

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

    Article  PubMed  Google Scholar 

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

    Article  PubMed  Google Scholar 

  3. Mirra JM, Kessler S, Bhuta S, et al. The fibroma-like variant of epithelioid sarcoma: a fibrohistiocytic/myoid cell lesion often confused with benign and malignant spindle cell tumors. Cancer. 1992;9:1382–95.

    Article  Google Scholar 

  4. Hornick JL, Mertens F, Fletcher CDM. Pseudomyogenic haemangioendothelioma. In: Fletcher CDM, Bridge JA, Hogendoorn PCW, Mertens F, editors. World Health Organization Classification of Tumours. Pathology and genetics of tumours of soft tissue and bone. Lyon: IARC Press; 2013. p. 153–4.

    Google Scholar 

  5. Walther C, Tayebwa J, Lilljebjörn H, et al. A novel SERPINE1-FOSB fusion gene results in transcriptional up-regulation of FOSB in pseudomyogenic haemangioendothelioma. J Pathol. 2014;232(5):534–40.

    Article  CAS  PubMed  Google Scholar 

  6. Stuart LN, Gardner JM, Lauer SR, Monson DK, Parker DC, Edgar MA. Epithelioid sarcoma-like (pseudomyogenic) hemangioendothelioma, clinically mimicking dermatofibroma, diagnosed by skin biopsy in a 30-year-old man. J Cutan Pathol. 2013;40(10):909–13.

    PubMed  Google Scholar 

  7. Sheng WQ, Wang J. Primary pseudomyogenic haemangioendothelioma of bone. Histopathology. 2012;61(6):1219–24.

    Article  CAS  PubMed  Google Scholar 

  8. McGinity M, Bartanusz V, Dengler B, Birnbaum L, Henry J. Pseudomyogenic hemangioendothelioma (epithelioid sarcoma-like hemangioendothelioma, fibroma-like variant of epithelioid sarcoma) of the thoracic spine. Eur Spine J. 2013;22 Suppl 3:S506–11.

    Article  PubMed  Google Scholar 

  9. Dei Tos AP, Righi A, Gambarotti M, et al. Reappraisal of primary spindle/pleomorphic sarcomas of bone. Mod Pathol. 2014;27(S2):15A. abstract n. 48.

    Google Scholar 

  10. Trombetta D, Magnusson L, von Steyern FV, Hornick JL, Fletcher CDM, Mertens F. Translocation t(7;19)(q22;q13)—a recurrent chromosome aberration in pseudomyogenic hemangioendothelioma? Cancer Genet. 2011;204(4):211–5.

    Article  CAS  PubMed  Google Scholar 

  11. Evans HL, Raymond AK, Ayala AG. Vascular tumors of bone: a study of 17 cases other than ordinary hemangioma, with an evaluation of the relationship of hemangioendothelioma of bone to epithelioid hemangioma, epithelioid hemangioendothelioma, and high-grade angiosarcoma. Hum Pathol. 2003;34(7):680–9.

    Article  PubMed  Google Scholar 

  12. Nielsen GP, Srivastava A, Kattapuram S, et al. Epithelioid hemangioma of bone revisited: a study of 50 cases. Am J Surg Pathol. 2009;33:270–7.

    Article  PubMed  Google Scholar 

  13. Kleer CG, Unni KK, McLeod RA. Epithelioid hemangioendothelioma of bone. Am J Surg Pathol. 1996;20:1301–11.

    Article  CAS  PubMed  Google Scholar 

  14. Deshpande V, Rosenberg AE, O’Connell JX, Nielsen GP. Epithelioid angiosarcoma of the bone: a series of 10 cases. Am J Surg Pathol. 2003;27:709–16.

    Article  PubMed  Google Scholar 

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Correspondence to Alberto Righi.

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Righi, A., Gambarotti, M., Picci, P. et al. Primary pseudomyogenic haemangioendothelioma of bone: report of two cases. Skeletal Radiol 44, 727–731 (2015). https://doi.org/10.1007/s00256-014-2024-1

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  • DOI: https://doi.org/10.1007/s00256-014-2024-1

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