Long term follow up after resection emphasizes the role of surgery in Primary Hepatic Epithelioid Hemangioendothelioma

Background: Primary Hepatic Epithelioid Hemangioendothelioma is an extremely rare tumor of vascular origin. Patients: In this work we present clinical data and long term results of eight patients who were surgically treated in our institution. Liver transplantation was performed in five patients (four cadaveric and one living related) and major liver resection in three patients. Three patients are alive with recurrent tumor. After a median follow-up of 100 months (48-266) all patients are alive. Conclusions: Only surgery can provide cure in HEH. If the extent of the disease prohibits primary resection liver transplantation might offer the most valuable option. (C) 2016 The Authors. Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd.