A 76-year-old man with hemoptysis and a groin nodule: A case report

Epithelioid hemangioendothelioma is a rare vascular neoplasm with clinical behavior that varies from indolent to aggressive. While the clinical presentation of epithelioid hemangioendothelioma may be variable, the diagnosis of epithelioid hemangioendothelioma is based on histologic and immunohistochemistry features. We describe a case of epithelioid hemangioendothelioma presenting as a groin nodule in a 76-year-old man. He was admitted to hospital with progressive hemoptysis, accompanied by a growing, ulcerated right groin nodule. Excisional biopsy confirmed a diagnosis of epithelioid hemangioendothelioma. The patient opted for palliation and died 1 month after hospital admission. Our case highlights an atypical presentation of epithelioid hemangioendothelioma characterized by hemoptysis and a solitary groin nodule, underscoring the importance of timely diagnosis and management.

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Publication Details

Journal
SAGE Open Medical Case Reports
Published
2026-01-01
DOI
https://doi.org/10.1177/2050313x251408865
Primary Topic
Vascular Tumors and Angiosarcomas
Type
article
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article

A 76-year-old man with hemoptysis and a groin nodule: A case report

Robert P. Hayes, Mojgan Ebrahimi, Kiera Dolan
SAGE Open Medical Case Reports
Vascular Tumors and Angiosarcomas
article

A 76-year-old man with hemoptysis and a groin nodule: A case report

Robert P. Hayes, Mojgan Ebrahimi, Kiera Dolan
article en

Abstract

Epithelioid hemangioendothelioma is a rare vascular neoplasm with clinical behavior that varies from indolent to aggressive. While the clinical presentation of epithelioid hemangioendothelioma may be variable, the diagnosis of epithelioid hemangioendothelioma is based on histologic and immunohistochemistry features. We describe a case of epithelioid hemangioendothelioma presenting as a groin nodule in a 76-year-old man. He was admitted to hospital with progressive hemoptysis, accompanied by a growing, ulcerated right groin nodule. Excisional biopsy confirmed a diagnosis of epithelioid hemangioendothelioma. The patient opted for palliation and died 1 month after hospital admission. Our case highlights an atypical presentation of epithelioid hemangioendothelioma characterized by hemoptysis and a solitary groin nodule, underscoring the importance of timely diagnosis and management.

SAGE Open Medical Case ReportsVol. 14
Dalhousie University (CA), Saint John Regional Hospital (CA)
Good health and well-being
Openalex Percentile: Top 94%
Vascular Tumors and Angiosarcomas
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A 76-year-old man with hemoptysis and a groin nodule: A case report — Robert P. Hayes, Mojgan Ebrahimi, et al. · SAGE Open Medical Case Reports (2026) | TGRS Research Map | TGRS