Elsevier

Radiology Case Reports

Volume 14, Issue 10, October 2019, Pages 1228-1232
Radiology Case Reports

Case Report
Pseudomyogenic hemangioendothelioma—A case report and review of the literature

https://doi.org/10.1016/j.radcr.2019.06.029Get rights and content
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Abstract

Pseudomyogenic hemangioendothelioma (PMH) of bone is a very rare tumor and frequently presents at multiple locations. PMH is difficult to diagnose by imaging and histopathologic features. Various and partially discordant imaging findings have been reported in case reports and small case series. We report a case of a 63-year-old man with PMH isolated to the sacrum, presenting with chronic intermittent buttock pain that was incidentally identified on imaging for acute pancreatitis. We believe that learning about PMH of bone will help to include this disease in the differential diagnosis of lytic lesions of the sacrum. Becoming aware of the various and sometimes discordant imaging findings of this rare entity is important and helpful for radiologists, pathologists, and orthopedic surgeons.

Keywords

Pseudomyogenic hemangioendothelioma
Vascular bone tumors
Sacrum
Epithelioid sarcoma-like hemangioendothelioma

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