Journal article

Surgical considerations in a paediatric case of a large skull-base epithelioid haemangioendothelioma

Suyi Ooi, Matthew Gutman, Chris Xenos, Ronil Chandra, Catriona McLean

CHILDS NERVOUS SYSTEM | SPRINGER | Published : 2019

Abstract

Intracranial epithelioid haemangioendothelioma (EHE) is a rare intermediate grade vascular tumour with heterogeneous clinical and histopathological behaviour. We present the surgical considerations of an exceptionally large skull-based EHE in an 11-year old female who presented to our institution with headaches and a protuberance over the left parietal area. Magnetic resonance imaging (MRI) demonstrated a left sided 10.5 × 6.6 × 11.1 cm extra-axial tumour arising from the parieto-temporaloccipital region which was continuous with the calvarium. An initial biopsy confirmed EHE. Staged treatment involved preoperative angiography and embolization. The patient underwent an extensive tumour excis..

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