18F-FDG PET and Bone Scintigraphy of Epithelioid Hemangioendothelioma

We report the case of a 31-year-old woman with left foot bones located epithelioid hemangioendothelioma. It is a rare type of vascular tumor, locally aggressive with metastatic potential. It was revealed by a chronic isolated left foot pain. Conventional imaging showed multiple osteolytic lesions of the bones, appearing aggressive. Both bone scintigraphy and 18F-FDG PET showed an increased uptake of these lesions and confirmed the limited extent to distal extremity of the left lower limb. Final diagnosis was given on a surgical biopsy. Patient was treated by hyperthermic chemotherapy using isolated limb perfusion. Received for publication June 30, 2018; revision accepted October 15, 2018. Conflicts of interest and sources of funding: none declared. Correspondence to: Marc-Antoine Hubaut, Service de Médecine Nucléaire et Imagerie Fonctionnelle, Hôpital Roger Salengro–Centre Hospitalier Régional Universitaire de Lille, 2 Avenue Oscar Lambret, 59037 Lille Cedex, France. E-mail: ma.hubaut@gmail.com. Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.

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