Pulmonary epithelioid hemangioendothelioma imitating lung cancer

Address for correspondence: Mariusz Łochowski MD, Department of Thoracic Surgery, Medical University of Lodz, Memorial Copernicus Hospital, 62 Pabianicka St, 93-513 Lodz, Poland, phone: +48 602 776 887, e-mail: [email protected] Received: 24.11.2016, accepted: 30.12.2017. A 62-year-old man, a smoker, was admitted to our department with a history of cough, weight loss (5 kg per 3 months) and fever. The physical examination revealed weakened vesicular murmur over the upper right lobe of the lung. Chest radiography exposed consolidation in the right upper lobe (RUL). Computed tomography (CT) scans of the chest revealed a solid mass in the RUL (Fig. 1). Abdominal ultrasound did not expose any liver metastases. Bronchoscopic examination revealed a keratotic mass in the RUL bronchus (Fig. 2). The histological examination of the mass specimen detected necrosis of tissue. Fine needle biopsy of the chest tumor was negative. The patient was scheduled for surgery for suspected carcinoma. Right antero-lateral thoracotomy was performed with upper right