EC Clinical and Medical Case Reports

Epithelioid hemangioendothelioma is a rare vascular tumor originating from the vascular endothelium. This tumor can manifest asymptomatically and be incidentally discovered. However, the most frequent presentation in the context of spinal involvement is localized pain. Primary spinal epithelioid hemangioendothelioma is an exceptionally infrequent occurrence, with only a limited number of cases documented in medical literature. In our article, we present a case involving a 48-year-old male diagnosed with epithelioid hemangioendothelioma located in the L2 vertebral body within the lumbar spine. The condition was first identified due to the emergence of right lower back pain. To alleviate pain and reduce the risk of potential pathological fractures, a posterior fixation procedure involving L1 and L4 was carried out. The patient's condition improved significantly following radiotherapy, resulting in a positive outcome.

 Keywords: Epithelioid Hemangioendothelioma; Imaging; Histology; Vascular Tumor; Spine

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