Selective internal radiotherapy for hepatic epithelioid hemangioendothelioma.

A 39 year-old male patient was admitted with complaints of weakness and right upper quadrant pain. Abdominal CT and FDG-PET/CT showed multiple nodular lesions involving both liver lobes, the largest of which was 4x2 cm in diameter and localized to the sixth segment. Further, multiple lymph nodes with an average of 2.5 cm diameter including necrotic components were also detected in the porta hepatis (Figure 1). A fine needle aspiration biopsy was obtained from one of the metastatic liver lesions which histopathological diagnosis was reported as HEH.