Evidence map›Paper›PMID 25118684›Full record

ReviewEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2015

Epithelioid hemangioendothelioma of the spine: results at seven years of average follow-up in a series of 10 cases surgically treated and a review of literature.

Alessandro Luzzati, Fabio Gagliano, Giuseppe Perrucchini, Gennaro Scotto, Carmine Zoccali

Abstract readReview
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In one paragraph

Review in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
0.9field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 26 citations in OpenAlex.

  1. En-Bloc Spondylectomy for spinal metastases: outcomes, indications, and cost analysis in a 40-patient retrospective study.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
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  8. En bloc resection in patients younger than 16 years affected by primary spine tumors: indications, results and complications in a series of 22 patients.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2020
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  11. En bloc spondylectomy in patients older than 60 years: indications, results and complications in a series of 37 patients.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2019
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  12. Primary vascular bone tumors in the spine: a challenge for pathologists and spine oncology surgeons.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2019
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Alessandro LuzzatiOncological Orthopedics Department, Galeazzi Orthopedic Institute, Via Riccardo Galeazzi 4, Milan, Italy. alessandroluzzati@gmail.com.
Fabio GaglianoOncological Orthopedics Department, Galeazzi Orthopedic Institute, Via Riccardo Galeazzi 4, Milan, Italy. fabio_gagliano@tiscali.it.
Giuseppe PerrucchiniOncological Orthopedics Department, Galeazzi Orthopedic Institute, Via Riccardo Galeazzi 4, Milan, Italy. pergiudoc@fastwebnet.it.
Gennaro ScottoOncological Orthopedics Department, Galeazzi Orthopedic Institute, Via Riccardo Galeazzi 4, Milan, Italy. g.scotto1@virgilio.it.
Carmine ZoccaliOncological Orthopedics Department, Muscular-skeletal Tissue Bank, IFO, Regina Elena National Cancer Institute, Via Elio Chianesi 53, Rome, Italy. carminezoccali@libero.it.
Istituto Ortopedico Galeazzi · ITIstituti Fisioterapici Ospitalieri · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo review a series of ten cases with epithelioid hemangioendothelioma of the spine, that have undergone surgery to describe clinical presentation, results and complications associated with surgical treatment; a review of literature reporting the main characteristics of the cases already published has been reported.

methodsA review of patients affected by epithelioid hemangioendothelioma surgically treated by the senior author from 1995 to 2012 was carried out. Ten cases were identified and clinical and radiological characteristics, therapy, complications and survival were valued.

resultsWide margin was achieved in two out of ten cases, marginal margin in seven and intralesional margin in one case. Average intraoperative blood loss was about 2,800 ml. Reported complications were one case of cord injury, one of dural tear, two cases of massive blood loss, a case of reconstruction failure, a wound dehiscence with deep infection, a pneumonia episode and a deep vein thrombosis with pulmonary embolism. Average follow-up was 84.4 months. Two local recurrences, after 32 and 37 months and two deaths for metastasis, after 14 and 36 months, were reported. Although several chemotherapy protocols are available for the treatment of EH of soft tissue, they are not relevant for the bone.

conclusionsWide surgery is probably associated with a better prognosis. Indeed most deaths and local recurrences reported in literature happened after intralesional surgery or chemotherapy/RT alone. The presenting study suggests that the best approach to achieve long-term local control and a major survival could be wide surgery, nevertheless more cases series are necessary to verify survival rate.

Indexed as

AdolescentAdultAgedBlood Loss, SurgicalFemaleFollow-Up StudiesHemangioendothelioma, EpithelioidHumansMaleMiddle AgedNeoplasm Recurrence, LocalPostoperative ComplicationsPrognosisSpinal NeoplasmsSurvival AnalysisEn-bloc vertebrectomyEpithelioid hemangioendotheliomaSpine tumorVascular bone tumorWide surgery

Identifiers

PMID25118684
OpenAlexW2087909050

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.