Expansile Kaposiform Hemangioendothelioma Deformed Thoracic Cage in an Adult Chien-Hui Wu, MD, Tung-Ming Tsai, MD, Jau-Yu Liau, MD, Yih-Leong Chang, MD,

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Expansile Kaposiform Hemangioendothelioma Deformed Thoracic Cage in an Adult Chien-Hui Wu, MD, Tung-Ming Tsai, MD, Jau-Yu Liau, MD, Yih-Leong Chang, MD, Hong-Shiee Lai, MD, PhD, Jang-Ming Lee, MD The Annals of Thoracic Surgery Volume 96, Issue 5, Pages 1854-1857 (November 2013) DOI: 10.1016/j.athoracsur.2013.02.059 Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Roentgenogram of the chest radiographic scans showing severe scoliosis over 50° in the thoracic spine and deformity of the thoracic cage with fractures of the right fifth to ninth ribs. The Annals of Thoracic Surgery 2013 96, 1854-1857DOI: (10.1016/j.athoracsur.2013.02.059) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A) Computed tomographic image showing a soft tissue mass with rib invasion in the right fifth costochondral junction. (B, C) Magnetic resonance image showing an infiltrative soft mass of heterogeneous high signal in the T2-weighted image and good enhancement in the T1 image with contrast medium, suggestive of a vascular lesion. (D) Angiographic image showing a soft tissue tumor with engorged vasculature at the right chest wall. The Annals of Thoracic Surgery 2013 96, 1854-1857DOI: (10.1016/j.athoracsur.2013.02.059) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 (A) A multinodular growth pattern is evident. Each nodule is composed of spindle cells and numerous interspersed small vessels. (Original magnification ×200.) (B) CD31 immunostain highlighting the endothelial cells and some spindle tumor cells. (Original magnification ×200.) The Annals of Thoracic Surgery 2013 96, 1854-1857DOI: (10.1016/j.athoracsur.2013.02.059) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions