Malignant vascular neoplasms of the liver are uncommon. We report the case
of a young woman who developed an epithelioid hemangioendothelioma of the r
iver associated with multiple focal nodular hyperplasias and hepatic cavern
ous hemangiomas. Such an unusual association is probably not fortuitous and
could support the theory that focal nodular hyperplasia is a reaction to a
n abnormal vascular supply rather than a true neoplasm.