Spleen
Vascular tumors
Hemangioendothelioma


Topic Completed: 1 October 2013

Revised: 18 March 2019

Copyright: 2003-2019, PathologyOutlines.com, Inc.

PubMed Search: Hemangioendothelioma spleen

Vijay Shankar, M.D.
Page views in 2018: 1,042
Page views in 2019 to date: 680
Cite this page: Shankar V. Hemangioendothelioma. PathologyOutlines.com website. http://www.pathologyoutlines.com/topic/spleenhemangioendothelioma.html. Accessed July 22nd, 2019.
Definition / general
  • Very rare, low grade malignant primary vascular tumor of spleen, with intermediate biologic behavior between hemangioma and angiosarcoma
Epidemiology
  • Often young, no gender predilection
Clinical features
  • Vague pain, palpable mass and fatigue
  • Functional hyposplenism, spontaneous or traumatic rupture can occur
  • Rarely mild anemia, indirect hyperbilirubinemia
Diagnosis
  • Based on radiological examination and histopathological confirmation
Radiology description
  • Ultrasound: hypoechoic mass distinct from surrounding spleen
  • CT: low attenuation mass
  • MRI: heterogenous solid lesion
Radiology images

Images hosted on other servers:

Large protruding cystic mass

Hypodense lesions

Case reports
Treatment
  • Splenectomy
Gross description
  • Well separated lesions, solitary or multiple of variable size
Gross images

Images hosted on other servers:

Multicystic lesion

Microscopic (histologic) description
  • More cellular than hemangioma, less atypical than angiosarcoma
  • Epithelioid or spindled
  • Ill defined vascular spaces lined by cells with mild or moderate atypia
  • Low mitotic index
Microscopic (histologic) images

Images hosted on other servers:

Uniform population of spindle cells

Composite hemangio-endothelioma

Abundant pale eosinophilic cytoplasm

Vascular channels lined by plump epithelial cells

Positive stains
Differential diagnosis
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