Epithelioid sarcoma‐like (pseudomyogenic) hemangioendothelioma,clinically mimicking dermatofibroma,diagnosed by skin biopsy in a 30‐year‐old man |
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Authors: | Lauren N Stuart Jerad M Gardner Scott R Lauer David K Monson Douglas C Parker Mark A Edgar |
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Institution: | 1. Department of Pathology, Emory University, , Atlanta, GA, USA;2. Department of Pathology, University of Arkansas for Medical Sciences, , Little Rock, AR, USA;3. Department of Orthopedic Surgery, Emory University, , Atlanta, GA, USA;4. Department of Dermatology, Emory University, , Atlanta, GA, USA |
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Abstract: | Epithelioid sarcoma‐like (pseudomyogenic) hemangioendothelioma (ESHE) represents a rare soft tissue and bone tumor that typically presents as nodule(s) in the distal extremities of young adults. The nodules traverse several tissue planes simultaneously and can involve the dermis, subcutis, skeletal muscle and bone. ESHE shares clinical and microscopic features with epithelioid sarcoma (ES), and, accordingly, is commonly misdiagnosed as ES. However, unlike ES, which has a poor prognosis, ESHE commonly follows an indolent course. Herein, we report a case of ESHE diagnosed by skin biopsy that clinically mimicked a dermatofibroma. We also provide clinical photographs of the lesions in various stages of development, representing information that has not been previously published, to our knowledge. |
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Keywords: | hemangioendothelioma leg tumor pseudomyogenic soft tissue tumor |
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