Table 1.
Summary of cases with resected pleural epithelioid hemangioendothelioma
| Authors | Age and sex | Symptoms at presentation | Signs at presentation | Diagnosis | Surgery | Other treatments | Median DFS from surgery (months) | Median OS from surgery (months) |
|---|---|---|---|---|---|---|---|---|
| Lee et al. [3] | 31 years, F | Upper back and radiating, bilateral shoulder pain. | Right nodular pleural thickening with several foci, and bone metastases. | Thoracoscopy: multiple scattered subpleural whitish-tan plaques; intraparenchymal growth. | Wedge resection of the right lower lobe of the lung | Palliative radiotherapy on the spine and chemotherapy with adriamycin as first-line treatment followed by mesna-doxorubicin-ifosfamide-dacarbazine as second-line treatment | NR | ≈10 |
| Crotty et al. [4] | 4 males with median age of 62 years | Chest pain, dyspnea, productive cough, fever and weight loss | Moderate-sized pleural effusions with smooth and nodular pleural thickening. | Three patients underwent open thoracotomy with pleural decortication. | Three out of four patients underwent pleural stripping and decortication procedures, for diagnostic purposes and palliation. | Not specified | NR | ≈10 |
| Two patients presented multiple pulmonary nodules (ranged from 3 to 12 mm). Diffuse mediastinal lymphadenopathy and thickened interlobular septa were observed in one patient. | One underwent video-assisted thoracoscopic pleural biopsy. | |||||||
| Lung was noted to be encased by dense white-gray tissue in one. In another one, a thick white plaque invaded the diaphragm. | ||||||||
| No chest wall invasion was reported. | Thoracocentesis: negative findings in one patient and positive findings for undifferentiated malignancy in another one. | |||||||
| Kim et al. [11] | 46 years, F | Right-sided chest discomfort and cough. | Right-sided pleural effusion | Diagnostic thoracoscopy: thick peel involving the pleural surfaces. | Initial decortication and visceral pleurectomy. Subsequent complete pleurectomy with cytoreduction to minimal disease | Postsurgical chemotherapy with carboplatin and etoposide for residual disease | ≈22 | ≈22 |
| Thoracocentesis: serosanguineous exudative effusion negative for malignancy. | ||||||||
| Saqi et al. [12] | 37 years, M | Progressive dyspnea and right-sided pleuritic chest pain | Right-sided pleural effusion | Thoracentesis and pleural decortication | Pleural decortication | Postoperative carboplatin, etoposide, and bevacizumab for one course | NR | ≈3 |
| Al-Shraim et al. [13] | 51 years, M | Dry cough, shortness of breath | Left-sided pleural effusion. Pleural thickening forming a nodular mass | Pleuroscopy: results interpreted as malignant mesothelioma, undifferentiated, small cell type. Correct diagnosis came from histological review | Left lung decortication and resection of the pleural tumor | Interferon | NR | >24 |
| Yu et al. [14] | 39 years, F | Progressive dyspnea | Mass lesion in the left thorax invading the pericardium and compressing the myocardium | Thoracocentesis and pericardiocentesis: bloody exudative effusion. | Radical resection | Postsurgical chemotherapy with carboplatin and etoposide | >14 | >14 |
| Fine needle aspiration: atypical inflammatory cells. | ||||||||
| Sternotomy: parenchymatous mass contiguous with a calcified mass on the left pleura. | ||||||||
| Chou et al. [15] | 42 years, M | Chest pain and productive cough | Pleural effusion and irregular thickness of the left pleura with small nodularities. | Pleural biopsy | Pleurectomy | Radiotherapy and chemotherapy for recurrent disease. | 5 | >14 |
| 27 years, M | Dry cough, hoarseness, and chest tenderness | Pleural mass and left hemidiaphragm paralysis | Partial pleurectomy: fibrotic lesion measuring 3.7 × 2.0 × 2.0 cm in size in the left pleura of the lung apex. | Pleurectomy | Postoperative radiotherapy and subsequent pleurectomy for recurrent disease. Adjuvant doxorubicin and cisplatin. | NR | ≈18 | |
| Bevelaqua et al. [16] | 22 years, M | Fever | Right pleural effusion | Thoracocentesis: serosanguineous exudative effusion negative for malignancy. | Excission of the mass, one-third of the diaphragm, a portion of the right lower lobe, and associated parietal pleura. | NR | NR | NR |
| Exploratory thoracotomy: lobulated hemorrhagic mass originating from the diaphragm. | ||||||||
| Apolinário et al. [17] | 47 years, M | Chest pain and dyspnea | Left pleural effusion | Cytological examination: negative for malignancy. | Pulmonary decortication and parietal pleurectomy | Postoperative doxorubicin | NR | ≈5 |
| Bronchofibroscopy: negative for malignancy. | ||||||||
| Takenaka et al. [18] | 62 years, M | Right chest pain and dyspnea | Diffuse pleural thickening with uptake at FDG-PET and right pleural effusion | Thoracoscopy with pleural biopsy: severe adhesion in the thoracic cavity. | Extrapleural pneumonectomy | Pazopanib for recurrent disease | 1 | ≈3.5 |