Epithelioid Hemangioma of the Carpus Presenting as Aneurysmal Bone Cyst
Epithelioid hemangioma is a rare neoplasm characterized by locally aggressive behavior and composed of small vessels lined by epithelioid endothelial cells. Its varied presentation poses diagnostic challenges because of its ability to mimic other tumors. An 18-year-old boy presented with a painful d...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-01-01
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| Series: | Journal of Hand Surgery Global Online |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2589514124001361 |
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| author | Juston Fan, DO William H. Fang, DO, MS Evelyn Thomas, DO Ali Nael, MD Mark N. Halikis, MD Amirhossein Misaghi, MD |
| author_facet | Juston Fan, DO William H. Fang, DO, MS Evelyn Thomas, DO Ali Nael, MD Mark N. Halikis, MD Amirhossein Misaghi, MD |
| author_sort | Juston Fan, DO |
| collection | DOAJ |
| description | Epithelioid hemangioma is a rare neoplasm characterized by locally aggressive behavior and composed of small vessels lined by epithelioid endothelial cells. Its varied presentation poses diagnostic challenges because of its ability to mimic other tumors. An 18-year-old boy presented with a painful dorsal mass on the right wrist, exhibiting features on preoperative imaging consistent with an expansile, radiolucent lesion. Initial bone biopsy suggested potential diagnoses of aneurysmal bone cysts or enchondromas. Surgical intervention, including debridement, adjuvant therapy, and bone graft, was performed. Postoperative immunohistology on intraoperative samples showed the presence of vascular markers, providing a confirmatory diagnosis of epithelioid hemangioma The patient was followed and was able to perform activities without pain for 6 months after surgery. Epithelioid hemangioma of the bone, although uncommon, demands cautious diagnosis, employing advanced techniques like immunohistochemical staining for accurate identification. |
| format | Article |
| id | doaj-art-5b7827e6b7eb40b3a195679f3ad14bdc |
| institution | Kabale University |
| issn | 2589-5141 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Hand Surgery Global Online |
| spelling | doaj-art-5b7827e6b7eb40b3a195679f3ad14bdc2025-01-26T05:04:37ZengElsevierJournal of Hand Surgery Global Online2589-51412025-01-01718891Epithelioid Hemangioma of the Carpus Presenting as Aneurysmal Bone CystJuston Fan, DO0William H. Fang, DO, MS1Evelyn Thomas, DO2Ali Nael, MD3Mark N. Halikis, MD4Amirhossein Misaghi, MD5Department of Orthopaedic Surgery, Riverside University Health System Medical Center, Moreno Valley, CA; Department of Orthopaedic Surgery, Children’s Hospital of Orange County, Orange, CA; Corresponding author: Juston Fan, DO, Department of Orthopaedic Surgery, Riverside University Health System Medical Center, 26520 Cactus Ave., Moreno Valley, CA 92555.Department of Orthopaedic Surgery, Riverside University Health System Medical Center, Moreno Valley, CA; Department of Orthopaedic Surgery, Children’s Hospital of Orange County, Orange, CADepartment of Orthopaedic Surgery, Riverside University Health System Medical Center, Moreno Valley, CA; Department of Orthopaedic Surgery, Children’s Hospital of Orange County, Orange, CAPathology Department, Children’s Hospital of Orange County and University of California Irvine, Orange, CADepartment of Orthopaedic Surgery, Children’s Hospital of Orange County, Orange, CADepartment of Orthopaedic Surgery, Children’s Hospital of Orange County, Orange, CAEpithelioid hemangioma is a rare neoplasm characterized by locally aggressive behavior and composed of small vessels lined by epithelioid endothelial cells. Its varied presentation poses diagnostic challenges because of its ability to mimic other tumors. An 18-year-old boy presented with a painful dorsal mass on the right wrist, exhibiting features on preoperative imaging consistent with an expansile, radiolucent lesion. Initial bone biopsy suggested potential diagnoses of aneurysmal bone cysts or enchondromas. Surgical intervention, including debridement, adjuvant therapy, and bone graft, was performed. Postoperative immunohistology on intraoperative samples showed the presence of vascular markers, providing a confirmatory diagnosis of epithelioid hemangioma The patient was followed and was able to perform activities without pain for 6 months after surgery. Epithelioid hemangioma of the bone, although uncommon, demands cautious diagnosis, employing advanced techniques like immunohistochemical staining for accurate identification.http://www.sciencedirect.com/science/article/pii/S2589514124001361Aneurysmal bone cystEpithelioid hemangiomaOsteolytic lesionVascular neoplasm |
| spellingShingle | Juston Fan, DO William H. Fang, DO, MS Evelyn Thomas, DO Ali Nael, MD Mark N. Halikis, MD Amirhossein Misaghi, MD Epithelioid Hemangioma of the Carpus Presenting as Aneurysmal Bone Cyst Journal of Hand Surgery Global Online Aneurysmal bone cyst Epithelioid hemangioma Osteolytic lesion Vascular neoplasm |
| title | Epithelioid Hemangioma of the Carpus Presenting as Aneurysmal Bone Cyst |
| title_full | Epithelioid Hemangioma of the Carpus Presenting as Aneurysmal Bone Cyst |
| title_fullStr | Epithelioid Hemangioma of the Carpus Presenting as Aneurysmal Bone Cyst |
| title_full_unstemmed | Epithelioid Hemangioma of the Carpus Presenting as Aneurysmal Bone Cyst |
| title_short | Epithelioid Hemangioma of the Carpus Presenting as Aneurysmal Bone Cyst |
| title_sort | epithelioid hemangioma of the carpus presenting as aneurysmal bone cyst |
| topic | Aneurysmal bone cyst Epithelioid hemangioma Osteolytic lesion Vascular neoplasm |
| url | http://www.sciencedirect.com/science/article/pii/S2589514124001361 |
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