68Ga-DOTA-E-[c(RGDfK)]2 positron emission tomography–computed tomography in the evaluation of hepatic hemangioendothelioma epithelioid
Hemangioendothelioma epithelioid is a rare tumor that originates in soft tissues. Imaging evaluation with conventional modalities (tomography and magnetic resonance) is difficult. Novel radiotracers which capably evaluate angiogenesis may have a higher impact on the therapeutic decisions. A 45-year-...
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Published in | Rare tumors Vol. 11 |
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Main Authors | , , , |
Format | Journal Article |
Language | English |
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SAGE Publications
25.02.2019
Sage Publications Ltd |
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Abstract | Hemangioendothelioma epithelioid is a rare tumor that originates in soft tissues. Imaging evaluation with conventional modalities (tomography and magnetic resonance) is difficult. Novel radiotracers which capably evaluate angiogenesis may have a higher impact on the therapeutic decisions. A 45-year-old man underwent workup for thrombosis and was diagnosed with hemangioendothelioma epithelioid based on the results of liver pathology and immunohistochemistry. The decision of the multidisciplinary board was to begin with thalidomide. After 4 months, progression of disease was documented and right hepatectomy was performed. A 68Ga-DOTA-E-[c(RGDfK)]2 positron emission tomography–computed tomography scan showed residual lesions. After documented angiogenesis by 68Ga-DOTA-E-[c(RGDfK)]2 positron emission tomography–computed tomography, nintedanib was administrated. And 1 year later, progression of the disease was documented by positron emission tomography–computed tomography. Ipilimumab plus nivolumab was started and partial response and excellent clinical response were documented. Molecular imaging with 68Ga-DOTA-E-[c(RGDfK)]2 positron emission tomography–computed tomography is a good biomarker of the response of hemangioendothelioma epithelioid, and ipilimumab plus nivolumab therapy demonstrated a good response. |
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AbstractList | Hemangioendothelioma epithelioid is a rare tumor that originates in soft tissues.
Imaging evaluation with conventional modalities (tomography and magnetic
resonance) is difficult. Novel radiotracers which capably evaluate angiogenesis
may have a higher impact on the therapeutic decisions. A 45-year-old man
underwent workup for thrombosis and was diagnosed with hemangioendothelioma
epithelioid based on the results of liver pathology and immunohistochemistry.
The decision of the multidisciplinary board was to begin with thalidomide. After
4 months, progression of disease was documented and right hepatectomy was
performed. A
68
Ga-DOTA-E-[c(RGDfK)]2 positron emission
tomography–computed tomography scan showed residual lesions. After documented
angiogenesis by
68
Ga-DOTA-E-[c(RGDfK)]2 positron emission
tomography–computed tomography, nintedanib was administrated. And 1 year later,
progression of the disease was documented by positron emission
tomography–computed tomography. Ipilimumab plus nivolumab was started and
partial response and excellent clinical response were documented. Molecular
imaging with
68
Ga-DOTA-E-[c(RGDfK)]2 positron emission
tomography–computed tomography is a good biomarker of the response of
hemangioendothelioma epithelioid, and ipilimumab plus nivolumab therapy
demonstrated a good response. Hemangioendothelioma epithelioid is a rare tumor that originates in soft tissues. Imaging evaluation with conventional modalities (tomography and magnetic resonance) is difficult. Novel radiotracers which capably evaluate angiogenesis may have a higher impact on the therapeutic decisions. A 45-year-old man underwent workup for thrombosis and was diagnosed with hemangioendothelioma epithelioid based on the results of liver pathology and immunohistochemistry. The decision of the multidisciplinary board was to begin with thalidomide. After 4 months, progression of disease was documented and right hepatectomy was performed. A 68Ga-DOTA-E-[c(RGDfK)]2 positron emission tomography–computed tomography scan showed residual lesions. After documented angiogenesis by 68Ga-DOTA-E-[c(RGDfK)]2 positron emission tomography–computed tomography, nintedanib was administrated. And 1 year later, progression of the disease was documented by positron emission tomography–computed tomography. Ipilimumab plus nivolumab was started and partial response and excellent clinical response were documented. Molecular imaging with 68Ga-DOTA-E-[c(RGDfK)]2 positron emission tomography–computed tomography is a good biomarker of the response of hemangioendothelioma epithelioid, and ipilimumab plus nivolumab therapy demonstrated a good response. |
Author | Soldevilla-Gallardo, Irma Davanzo, Jenny Pedrero-Piedras, Roberto Medina-Ornelas, Sevastian S |
Author_xml | – sequence: 1 givenname: Irma surname: Soldevilla-Gallardo fullname: Soldevilla-Gallardo, Irma organization: Department of Nuclear Medicine and Molecular Imaging, Instituto Nacional de Cancerología, Mexico City, Mexico – sequence: 2 givenname: Sevastian S orcidid: 0000-0002-5761-2337 surname: Medina-Ornelas fullname: Medina-Ornelas, Sevastian S organization: Department of Nuclear Medicine and Molecular Imaging, Instituto Nacional de Cancerología, Mexico City, Mexico – sequence: 3 givenname: Jenny surname: Davanzo fullname: Davanzo, Jenny organization: Department of Nuclear Medicine and Molecular Imaging, Instituto Nacional de Cancerología, Mexico City, Mexico – sequence: 4 givenname: Roberto surname: Pedrero-Piedras fullname: Pedrero-Piedras, Roberto organization: Department of Nuclear Medicine and Molecular Imaging, Instituto Nacional de Cancerología, Mexico City, Mexico |
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Keywords | 68Ga-DOTA-E-[c(RGDfK)]2 hemangioendothelioma epithelioid positron emission tomography angiogenesis |
Language | English |
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References_xml | – volume: 43 start-page: 521 issue: 4 year: 2012 end-page: 525 article-title: Diagnostic and therapeutic challenges in hepatic epithelioid hemangioendothelioma publication-title: J Gastrointest Cancer contributor: fullname: Busler – volume: 3 start-page: 472 issue: 5 year: 2006 end-page: 487 article-title: Radiolabeled multimeric cyclic RGD peptides as integrin α v β 3 targeted radiotracers for tumor imaging publication-title: Mol Pharm contributor: fullname: Liu – volume: 50 start-page: 970 issue: 5 year: 1982 end-page: 981 article-title: Epithelioid hemangioendothelioma a vascular tumor often mistaken for a carcinoma publication-title: Cancer contributor: fullname: Enzinger – volume: 59 start-page: 403 issue: 3 year: 2018 end-page: 409 article-title: Response assessment of 68Ga-DOTA-E-[c(RGDfK)]2 PET/CT in lung adenocarcinoma patients treated with nintedanib plus docetaxel publication-title: J Nucl Med contributor: fullname: Michel-Tello – volume: 23 start-page: e237 issue: 3 year: 2014 end-page: e240 article-title: Ischemic stroke as the first manifestation of hepatic epithelioid hemangioendothelioma publication-title: J Stroke Cerebrovasc Dis contributor: fullname: Kravaritis – volume: 19 start-page: 3301 issue: 20 year: 2012 end-page: 3309 article-title: Radiolabeled RGD peptides as integrin alpha(v)beta3–targeted PET tracers publication-title: Curr Med Chem contributor: fullname: Inoue – volume: 5 start-page: 165 issue: 2 year: 2012 end-page: 172 article-title: Ga-labeling of RGD peptides and biodistribution publication-title: Int J Clin Exp Med contributor: fullname: Estrada – volume: 9 start-page: 131 issue: 1 year: 2014 end-page: 142 article-title: Epithelioid hemangioendothelioma: clinicopathologic, immunohistochemical, and molecular genetic analysis of 39 cases publication-title: Diagn Pathol contributor: fullname: De Saint Aubain Somerhausen – volume: 38 start-page: e66 issue: 2 year: 2013 end-page: e73 article-title: MRI and FDG PET/CT findings of hepatic epithelioid hemangioendothelioma publication-title: Clin Nucl Med contributor: fullname: Wang – volume: 4 start-page: 413 issue: 1 year: 2010 article-title: Successful treatment of metastatic hepatic epithelioid hemangioendothelioma with thalidomide: a case report publication-title: J Med Case Rep contributor: fullname: Williams – volume: 107 start-page: 2108 issue: 9 year: 2006 end-page: 2121 article-title: Primary malignant hepatic epithelioid hemangioendothelioma: a comprehensive review of the literature with emphasis on the surgical therapy publication-title: Cancer contributor: fullname: Fonouni |
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Snippet | Hemangioendothelioma epithelioid is a rare tumor that originates in soft tissues. Imaging evaluation with conventional modalities (tomography and magnetic... Hemangioendothelioma epithelioid is a rare tumor that originates in soft tissues. Imaging evaluation with conventional modalities (tomography and magnetic... |
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SubjectTerms | Angiogenesis Case Report Computed tomography Hepatectomy Immunohistochemistry Monoclonal antibodies Positron emission tomography Soft tissues Thalidomide Thrombosis Tomography |
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Title | 68Ga-DOTA-E-[c(RGDfK)]2 positron emission tomography–computed tomography in the evaluation of hepatic hemangioendothelioma epithelioid |
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