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http://dx.doi.org/10.1097/PAS.0000000000002309DOI Listing

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Splenic papillary intralymphatic angioendothelioma is extremely rare. We describe FDG PET/CT and MRI findings of splenic papillary intralymphatic angioendothelioma in a young adult. The splenic tumor showed hypodensity and increased FDG uptake with SUVmax of 4 on PET/CT, heterogeneous signal intensity with internal hypointense stellate scars on T2-weighted image, and progressive centripetal enhancement on dynamic contrast-enhanced T1-weighted images.

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Article Synopsis
  • Papillary intralymphatic angioendothelioma (PILA) is a rare type of soft tissue tumor primarily found in children's subcutaneous tissues, with only four reported intraosseous cases in literature.
  • A 50-year-old female presented with persistent knee pain, and imaging revealed a lytic lesion in her distal femoral epiphysis, eventually diagnosed as PILA through histological examination.
  • After cryoablation and subsequent surgical resection due to recurrence, the patient remained free of local recurrence and metastases after 7 years of follow-up, highlighting the need to consider PILA in vascular bone tumor diagnoses.
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