DEAR DR. GOTT: In September my wife was diagnosed with epithelioid hemangioendothelioma in her liver. Because of the size and aggressiveness, the team at Yale-New Haven Hospital has recommended a liver transplant. Dr Gott, my wife is 43 years old, the mother for four and other than this, she is very healthy. We need help and direction.

DEAR READER: Epithelioid hemangioendothelioma, otherwise known as EHE, is an uncommon vascular tumor with variable-sized nodules that can be found on tissue or in any organ. It frequently occurs in patients from the ages of 10 to 73 with the lower extremities most commonly involved. Many patients have a slowly progressive, low-grade malignant tumor but survive for decades. Radiological diagnosis is generally difficult because of the presence of multiple nodules that simulate metastatic carcinoma. The disorder was first reported in medical journals some 27 years ago.
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