Evidence map›Paper›PMID 42064482›Full record

ArticleCureus2026

Hepatic Epithelioid Hemangioendothelioma Mimicking Metastatic Carcinoma on Liver Biopsy: A Case Report.

Saikat Mitra, Ashish Kawthalkar, Shantanu Pande

Abstract readCase Reports
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

3 authors.

Saikat MitraPathology, All India Institute of Medical Sciences, Nagpur, IND.
Ashish KawthalkarPathology, All India Institute of Medical Sciences, Nagpur, IND.
Shantanu PandeNuclear Medicine and Molecular Imaging, All India Institute of Medical Sciences, Nagpur, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hepatic epithelioid hemangioendothelioma (HEHE) is a rare malignant vascular tumor that frequently poses a diagnostic challenge due to its close resemblance to metastatic carcinoma, particularly on limited biopsy material. We report the case of a 42-year-old woman who presented with constitutional symptoms and gastrointestinal bleeding. Imaging revealed multiple bilateral hepatic lesions, clinically interpreted as metastases from an unknown primary. The liver biopsy revealed cords and tubular structures composed of epithelioid cells within a reactive hepatic background. Immunohistochemistry revealed isolated CK7 positivity, leading to an initial impression of metastatic carcinoma or intrahepatic cholangiocarcinoma. Extensive clinic-radiological work-up failed to identify a primary malignancy. Review of histology highlighted blister cells and intracytoplasmic vacuoles, and subsequent endothelial marker positivity confirmed the diagnosis of HEHE. This case underscores the importance of recognizing histologic clues and the diagnostic pitfall in HEHE, which can lead to misdiagnosis and inappropriate management.

Indexed as

diagnostic pitfallhepatic epithelioid hemangioendotheliomaimmunohistochemistryliver biopsymetastatic carcinomavascular tumor

Identifiers

PMID42064482
PMCPMC13127056

What OpenQuestion holds

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Registered trials

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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.