caa a22 4500 445834188 CHVBK 20180317145325.0 cr unu---uuuuu 170323e20110801xx s 000 0 eng 10.1007/s00586-011-1798-2 doi (NATIONALLICENCE)springer-10.1007/s00586-011-1798-2 Epithelioid hemangioendotheliomas of the spine: clinical characters with middle and long-term follow-up under surgical treatments [Elektronische Daten] [Junming Ma, Liangzhe Wang, Wen Mo, Xinghai Yang, Jianru Xiao] Epithelioid hemangioendothelioma, an aggressive vascular tumor has the rarity of morbidity that arises in the spine. There were few cases reported in literatures in recent years, and little was known about this disease. A review study of the patient files in our constitutions between 1996 and 2006 showed that five patients were treated for spinal epithelioid hemangioendothelioma. Although only five patients, this study attempts to bring more informations about this rare lesion. This patient group included two males and three females. The lesions located in the cervical (case 1) or thoracic (case 2-4) or lumbar spine (case 5). Treatments included: laminectomy and cytoreductive surgery followed by external beam irradiation (one patient), expanded resection in piece meal with postoperative external beam irradiation (three patients), and total en bloc resection alone (one patient). Reconstruction of the spinal stability was performed in four patients. Follow-up period ranged from 25 to 72months, averaged 47.4months. The neurologic function of patients got a satisfactory progress except the paraplegic patient at diagnosis. The patient who received laminectomy and cytoreductive surgery followed by external beam irradiation still presented with tumor local progress, metastasis, and she died at 34months after operation. No local recurrence or distant metastasis was detected in the other four patients. Epithelioid hemangioendothelioma of the spine is so rare in clinic as a primary aggressive vascular tumor. Based on our experience, a valid expanded resection of the tumor with adjunct radiation therapy or total en bloc excision may present with acceptable results. Springer-Verlag, 2011 Epithelioid hemangioendothelioma nationallicence Spine nationallicence Clinical character nationallicence Outcomes nationallicence Surgical treatment nationallicence Ma Junming Department of Orthopaedics, LongHua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, China aut Wang Liangzhe Pathological Department, Changzheng Hospital, The Second Military Medical University, Shanghai, China aut Mo Wen Department of Orthopaedics, LongHua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, China aut Yang Xinghai Spine center of Changzheng Hospital, The Second Military Medical University, Feng Yang Road 415, Huang Pu District, 200003, Shanghai, China aut Xiao Jianru Spine center of Changzheng Hospital, The Second Military Medical University, Feng Yang Road 415, Huang Pu District, 200003, Shanghai, China aut European Spine Journal Springer-Verlag 20/8(2011-08-01), 1371-1376 0940-6719 20:8<1371 2011 20 586 https://doi.org/10.1007/s00586-011-1798-2 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00586-011-1798-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Ma Junming Department of Orthopaedics, LongHua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, China aut NATIONALLICENCE 700 1- Wang Liangzhe Pathological Department, Changzheng Hospital, The Second Military Medical University, Shanghai, China aut NATIONALLICENCE 700 1- Mo Wen Department of Orthopaedics, LongHua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, China aut NATIONALLICENCE 700 1- Yang Xinghai Spine center of Changzheng Hospital, The Second Military Medical University, Feng Yang Road 415, Huang Pu District, 200003, Shanghai, China aut NATIONALLICENCE 700 1- Xiao Jianru Spine center of Changzheng Hospital, The Second Military Medical University, Feng Yang Road 415, Huang Pu District, 200003, Shanghai, China aut NATIONALLICENCE 773 0- European Spine Journal Springer-Verlag 20/8(2011-08-01), 1371-1376 0940-6719 20:8<1371 2011 20 586 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer