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Hasegawa O, Watanabe M, Kono M, Yunaiyama D, Chikazu D. Preoperative transarterial embolization for solitary fibrous tumor of the tongue: A case report. Mol Clin Oncol 2021; 14:55. [PMID: 33604045 PMCID: PMC7849066 DOI: 10.3892/mco.2021.2217] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2020] [Accepted: 10/27/2020] [Indexed: 11/06/2022] Open
Abstract
Solitary fibrous tumors (SFTs) are derived from mesenchymal cells originating mainly from the pleura. Reports of bleeding SFTs in head and neck regions are rare. A number of reports have focused on tongue SFT treatments, but to the best of our knowledge, there are no reports on the usefulness of preoperative arterial embolization. Intraoperative and postoperative bleeding can also lead to airway problems. To avoid unnecessary tracheostomy and ligation of the external carotid artery, preoperative vascular embolism should be considered while removing large tumors or tumors with high blood flow. The current report outlines a case of a 32-year-old woman with a tongue solitary fibrous tumor, who underwent right lingual artery embolization with 300-500 and 500-700 µm embosphere microspheres through a vascular catheter the day before surgical resection. The encapsulated tumor was completely excised under general anesthesia with little to no bleeding during the operation.
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Affiliation(s)
- On Hasegawa
- Department of Oral and Maxillofacial Surgery, Tokyo Medical University, Shinjyuku-ku, Tokyo 160-0023, Japan
| | - Masato Watanabe
- Department of Oral and Maxillofacial Surgery, Tokyo Medical University, Shinjyuku-ku, Tokyo 160-0023, Japan
| | - Michihide Kono
- Department of Oral and Maxillofacial Surgery, Tokyo Medical University, Shinjyuku-ku, Tokyo 160-0023, Japan
| | - Daisuke Yunaiyama
- Department of Radiology, Tokyo Medical University, Shinjyuku-ku, Tokyo 160-0023, Japan
| | - Daichi Chikazu
- Department of Oral and Maxillofacial Surgery, Tokyo Medical University, Shinjyuku-ku, Tokyo 160-0023, Japan
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Very rare localization of a retroperitoneal hemangiopericytoma revealed by lumbosciatalgia: A case report. Int J Surg Case Rep 2018; 53:127-131. [PMID: 30391737 PMCID: PMC6216087 DOI: 10.1016/j.ijscr.2018.10.056] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2018] [Accepted: 10/13/2018] [Indexed: 01/26/2023] Open
Abstract
Hemangiopericytoma is a rare vascular tumor representing about 1% of all vascular tumors and approximatively 5% of all soft tissues sarcomas. Retroperitoneal hemangiopericytoma is a rare location. The radiologic feature suggests the diagnosis but the pathologic findings associated to immune histochemistery remain the only tool to confirm the diagnosis. Surgical excision is the most preferred treatment as it helps in relieving the symptoms as well as confirm the diagnosis.
Introduction: Hemangiopericytoma is a rare vascular tumor representing about 1% of all vascular tumors and approximatively 5% of all soft tissues sarcomas that arises from the pericytes of Zimmerman surrounding capillaries and postcapillaries vessels. Retroperitoneal hemangiopericytomas are rare among the localisations as it usually occurs in lower and upper extremities. Presentation of case: We present a case of 31-year-old man with a well-defined retro peritoneal mass measuring about 105 × 73 × 83 mm at right lower quadrant of the abdomen anterior to right psoas muscle. Intraoperatively, an large mass measuring 10 × 8 cm was found arising from the retro peritoneum. A monobloc excision was performed. The postoperative course was uneventful. Histopathological examination with immune histochemistry revealed that tumoral cells were positive for desmin, CD34, smooth muscular antigen. Final diagnosis of hemangiopericytoma was made. On the last follow up at one year, he was symptom free. Discussion: Hemangiopericytoma is a rare tumor. It takes origin from pericytes presenting as intervals along the walls of capillaries and post-capillary venules. Retroperitoneal hemangiopericytoma is a rare location. It is often discovered at late course, and can be revealed by various symptoms with the compression of the adjacent organs by the tumor Surgical resection should be considered in symptomatic cases or in case of diagnostic dilemma. Conclusion: Retroperitoneal hemangiopericytoma can be benign but it should be treated the same way as aggressive tumors. It requires a careful and long term follow up.
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Soft Tissue Solitary Fibrous Tumor: Combined Surgery and Radiation Therapy Results in Excellent Local Control. Am J Clin Oncol 2017; 41:81-85. [PMID: 26270446 DOI: 10.1097/coc.0000000000000218] [Citation(s) in RCA: 32] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
PURPOSE To report survival outcomes and local control in patients with solitary fibrous tumors (SFT) treated using surgery and radiation therapy (RT). METHODS We reviewed the medical records of 31 consecutive patients definitively treated for SFT with surgery and RT between 1982 and 2012. The median age was 51 years (range, 23 to 88 y) and tumors were evenly distributed between the head and neck (n=9, 29%), trunk (n=10, 32%), and lower extremities (n=9, 29%). The majority of tumors were large (>5 cm) (n=23, 72%). Specimens had a median of 2 mitoses/10 HPF (range, 0 to 8). Nearly half the cases were treated with postoperative RT (n=14, 45%; median dose, 58 Gy) and the other 17 patients (55%) received preoperative RT (median dose, 50 Gy). RESULTS Median follow-up time was 59 months (range, 18 to 349 mo). The 5-year rates of local control, overall survival, and distant metastatic-free survival were 100%, 95%, and 92%, respectively. There were no local or nodal relapses and the 10-year complication rate was 6% (n=2). CONCLUSIONS Treatment of soft tissue SFT using combined surgery and RT results in excellent local control.
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Miot C, Simental AA, Perez MC, Suh J, Andrade Filho PA. Solitary fibrous tumor/hemangiopericytoma arising from the posterior neck in the perivertebral space and treated with surgery and preoperative embolization. OTOLARYNGOLOGY CASE REPORTS 2017. [DOI: 10.1016/j.xocr.2017.10.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
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Colvin JS, Morris-Stiff G, Cruise M, Purysko A. Pancreatic metastasis from an osseous solitary fibrous tumour. BMJ Case Rep 2017; 2017:bcr-2017-220114. [PMID: 28487308 DOI: 10.1136/bcr-2017-220114] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
A 73-year-old man presented with a right-sided chest wall mass that showed an epitheloid neoplasm with mild cytologic atypia on core needle biopsy. He underwent surgical resection, and final pathology revealed solitary fibrous tumour/hemangiopericytoma with negative margins. Three years after surgical resection, the patient presented with fatigue, abdominal pain, weight loss and mildly elevated liver function tests. Further workup revealed a 1.2 cm hypervascular mass in the neck of the pancreas. This case report summarises the surgical treatment and outcomes for a patient who presented with this rare tumour.
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Affiliation(s)
| | | | | | - Andrei Purysko
- Diagnostic Radiology, Cleveland Clinic, Cleveland, Ohio, USA
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Horky J, Chaloupka J, Putman C, Roth T, Sasaki C. Large Haemangiopericytoma of the Posterior Cervical Space. Interv Neuroradiol 2016; 3:155-60. [DOI: 10.1177/159101999700300207] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/1997] [Accepted: 04/18/1997] [Indexed: 11/16/2022] Open
Abstract
We report a case of a 39-year old woman who upon developing a rapidly enlarging posterior cervical space tumour, underwent incisional biopsy prior to diagnostic imaging that resulted in nearly catastrophic haemorrhage. Subsequently, MR imaging showed evidence of marked hypervascularity, prompting diagnostic angiography and endovascular microembolization prior to surgical resection. The tumour turned out to be a large haemangiopericytoma arising from the paravertebral musculature. The case is instructive by highlighting the need for considering rare locations of hypervascular tumours in the head and neck region before attempting biopsy, which can be predicted by cross-sectional imaging studies, and the benefits of pre-operative devascularization with modern superselective microembolisation techniques.
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Affiliation(s)
- J.K. Horky
- Interventional Neuroradiology Service, Department of Diagnostic Radiology, Section of Neurosurgery, Department of Surgery, Section of Otolaryngology, Department of Surgery, Yale University School of Medicine; New Haven
| | - J.C. Chaloupka
- Interventional Neuroradiology Service, Department of Diagnostic Radiology, Section of Neurosurgery, Department of Surgery, Section of Otolaryngology, Department of Surgery, Yale University School of Medicine; New Haven
| | - C.M. Putman
- Interventional Neuroradiology Service, Department of Diagnostic Radiology, Section of Neurosurgery, Department of Surgery, Section of Otolaryngology, Department of Surgery, Yale University School of Medicine; New Haven
| | - T.C. Roth
- Interventional Neuroradiology Service, Department of Diagnostic Radiology, Section of Neurosurgery, Department of Surgery, Section of Otolaryngology, Department of Surgery, Yale University School of Medicine; New Haven
| | - C.T. Sasaki
- Interventional Neuroradiology Service, Department of Diagnostic Radiology, Section of Neurosurgery, Department of Surgery, Section of Otolaryngology, Department of Surgery, Yale University School of Medicine; New Haven
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Castiglione M, Nardo L, Ottaviani F. Hemangiopericytoma arising from the cartilage of the external auditory canal. Head Neck 2016; 38:E108-10. [PMID: 26801951 DOI: 10.1002/hed.24328] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/20/2015] [Indexed: 11/08/2022] Open
Abstract
BACKGROUND Hemangiopericytomas (HPCs) are soft tissue tumors with histological variability and unpredictable clinical and biological behavior. HPCs in the head and neck are uncommon, the growth pattern is nonspecific; thus, diagnosis is often made by exclusion. METHODS A 43-year-old man complained of a short history of right ear pain associated with a growing mass in the right external auditory canal. Subsequent hearing loss in the right ear brought the patient to undergo a CT scan and an MRI. The relevant literature was also reviewed. RESULTS The imaging revealed a neoplasm arising from the floor of the right external auditory canal. The neoplasm was removed with the diagnosis of HPC. CONCLUSION The literature reports few cases of HPC of the external auditory canal. Their rarity in this area leads to difficulties in diagnosis. Morphology is not predictive of their behavior, so close follow-up is mandatory for their correct management.
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Affiliation(s)
- Melina Castiglione
- Department of Clinical Sciences and Community Health, San Giuseppe Hospital, Università degli Studi di Milano, Milan, Italy
| | - Luciano Nardo
- Department of Otolaryngology - Head and Neck Surgery, San Giuseppe Hospital, Milan, Italy
| | - Francesco Ottaviani
- Department of Clinical Sciences and Community Health, San Giuseppe Hospital, Università degli Studi di Milano, Milan, Italy
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Noh SH, Lim JJ, Cho KG. Intracranial Hemangiopericytomas : A Retrospective Study of 15 Patients with a Special Review of Recurrence. J Korean Neurosurg Soc 2015; 58:211-6. [PMID: 26539263 PMCID: PMC4630351 DOI: 10.3340/jkns.2015.58.3.211] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2015] [Revised: 07/13/2015] [Accepted: 08/04/2015] [Indexed: 11/27/2022] Open
Abstract
OBJECTIVE Although surgical resection is used to treat meningeal hemangiopericytoma (MHPC), there is a high risk of subsequent recurrence. This study investigated factors associated with treatment outcomes and recurrence in patients who had undergone surgical resection of intracranial MHPC. METHODS Fifteen patients underwent surgical treatments performed by one senior neurosurgeon between 1997 and 2013. Clinical data, radiologic images, surgical outcomes, recurrence, and other relevant characteristics were reviewed and analyzed. RESULTS Fifteen patients were included in the analysis, 12 (80%) of whom had tumors in the supratentorial region, and 3 (20%) of whom had tumors in the infratentorial region. Complete resection was achieved in all 15 patients, and 3 (20%) patients were administered radiosurgery and conventional radiotherapy after surgery as adjuvant radiotherapy. Three patients developed recurrence, 2 of whom had not received adjuvant radiotherapy. In 1 of the patients who had not received adjuvant radiotherapy, recurrence developed at the original tumor site, 81 months after surgery. The other 2 recurrences occurred at other sites, 78 and 41 months after surgery. The 5- and 10-year overall survival rates were 88.3%, while the 5- and 10-year recurrence-free survival rates were 83% and 52%, respectively. Additionally the mean Ki-67 index differed significantly between patients who did and did not develop recurrence (43% vs. 14%; p=0.001). CONCLUSION Because of the high risk of MHPC recurrence, MHPC tumors should be completely resected, whenever feasible. However, even when complete resection is achieved, adjuvant radiotherapy might be necessary to prevent recurrence.
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Affiliation(s)
- Sung Hyun Noh
- Department of Neurosurgery, Bundang CHA Medical Center, CHA University College of Medicine, Seongnam, Korea
| | - Jae Joon Lim
- Department of Neurosurgery, Bundang CHA Medical Center, CHA University College of Medicine, Seongnam, Korea
| | - Kyung Gi Cho
- Department of Neurosurgery, Bundang CHA Medical Center, CHA University College of Medicine, Seongnam, Korea
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11
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Scalp located hemangiopericytomas and review of the literature. EUROPEAN JOURNAL OF PLASTIC SURGERY 2012. [DOI: 10.1007/s00238-011-0630-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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12
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Solitary fibrous tumors and so-called hemangiopericytoma. Sarcoma 2012; 2012:690251. [PMID: 22566753 PMCID: PMC3337510 DOI: 10.1155/2012/690251] [Citation(s) in RCA: 57] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2012] [Accepted: 01/31/2012] [Indexed: 12/21/2022] Open
Abstract
We have reviewed the literature data regarding the spectrum of tumors including solitary fibrous tumor and hemangiopericytoma with special focus on definition of the disease, discussion of the criteria for malignancy, and the key elements of standard treatment of localized disease. We have discussed the emerging concepts on the tumor biology and the different systemic treatments (chemotherapy and molecular-targeted therapies).
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Unrecognized hemangiopericytoma of posterior cervical region with intracranial extension. J Craniomaxillofac Surg 2012; 40:e51-3. [DOI: 10.1016/j.jcms.2011.01.019] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2010] [Revised: 01/21/2011] [Accepted: 01/24/2011] [Indexed: 11/24/2022] Open
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Morris-Stiff G, Falk GA, Joyce D, Rubin B, Chalikonda S. Primary omental haemangiopericytoma. BMJ Case Rep 2011; 2011:bcr.03.2011.4041. [PMID: 22696766 DOI: 10.1136/bcr.03.2011.4041] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022] Open
Abstract
Haemangiopericytomas arise from Zimmermann's pericytes, which regulate the blood flow through capillaries. Given their cell of origin, haemangiopericytomas may arise anywhere; however, the most common locations are the lower limb musculature, the pelvic fossa and the retroperitoneum. A comprehensive review of the English literature has revealed only 19 previous confirmed haemangiopericytomas arising from omentum, the case reported herein being the 20th.
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Affiliation(s)
- Gareth Morris-Stiff
- Department of Hepato-Pancreato-Biliary Surgery, Cleveland Clinic Foundation, Cleveland, Ohio, USA.
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Wong VV, O'Brien O, De Tavernier M. Bilateral malignant ovarian haemangiopericytoma. J OBSTET GYNAECOL 2011; 31:98-9. [PMID: 21281014 DOI: 10.3109/01443615.2010.515322] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Affiliation(s)
- V V Wong
- Department of Gynaecology, Cork University Hospital, Wilton, Cork, Republic of Ireland.
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Tsirevelou P, Chlopsidis P, Zourou I, Valagiannis D, Skoulakis C. Hemangiopericytoma of the neck. Head Face Med 2010; 6:23. [PMID: 20868476 PMCID: PMC2954839 DOI: 10.1186/1746-160x-6-23] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2010] [Accepted: 09/24/2010] [Indexed: 11/28/2022] Open
Abstract
Hemangiopericytoma (HPC) is an exceedingly rare tumor of uncertain malignant potential. Approximately 300 cases of HPC have been reported since Stout and Murray described HPCs as "vascular tumors arising from Zimmerman's pericytes" in 1942. After further characterization, the WHO reclassified HPC as a fibroblastic/myofibroblastic tumor. Long term follow up is mandatory because the histologic criteria for prediction of biologic behavior are imprecise. There are reports of recurrence and metastasis many years after radical resection. The head and neck incidence is less than 20%, mostly in adults. We report herein a case of HPC resected from the neck of a 74-year-old woman, who presented in our department with a painless right-sided neck mass. The mass was well circumscribed, mobile and soft during the palpation. The skin over the tumor was intact and normal. Clinical diagnosis at this time was lipoma. A neck computer tomography scan showed a large submucosal mass in the neck, which extended in the muscular sites. The tumor was completely removed by wide surgical resection. During surgery we found a highly vascularised tumor. The histopathologic examination revealed a cellular, highly vascularized tumor. The diagnosis was that of solitary fibrous tumor, cellular variant, with haemangiopericytoma-like features. The patient had normal postoperative course of healing and 24 months later she remains asymptomatic, without signs of recurrence or metastases.
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Affiliation(s)
- Paraskevi Tsirevelou
- ENT Department, Achillopouleion General Hospital of Volos, Polymeri 134, 38222 Volos, Greece.
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Schneider LF, Gardner SL, Sharma S. Preoperative chemotherapy to salvage the hand in a case of giant infantile hemangiopericytoma. J Hand Surg Am 2010; 35:995-8. [PMID: 20513579 DOI: 10.1016/j.jhsa.2010.03.007] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/12/2009] [Revised: 02/25/2010] [Accepted: 03/03/2010] [Indexed: 02/02/2023]
Abstract
Hemangiopericytoma (HPC) is a rare vascular tumor arising from contractile cells around blood vessels, with the potential for malignant degeneration. Up to 10% of HPC occurs in children. Standard therapy for this tumor is surgical excision. We report the case of a 6-month-old infant with giant HPC involving the hand. Chemotherapy resulted in a decrease in tumor size, allowing for salvage of most of the hand and fingers. Preoperative chemotherapy should be considered in the care of HPC tumors involving the upper extremity in children.
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Affiliation(s)
- Lisa F Schneider
- Institute of Reconstructive Plastic Surgery and the Division of Pediatric Oncology, New York University Langone Medical Center, New York, NY 10016, USA
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Bist SS, Varshney S, Kumar R, Gupta N. Hemangiopericytoma Presenting as an External Auditory Canal Mass. EAR, NOSE & THROAT JOURNAL 2010. [DOI: 10.1177/014556131008900502] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Affiliation(s)
- Sampan S. Bist
- Department of ENT, Himalayan Institute of Medical
Sciences, HIHT University, Jolly Grant, Doiwala, Dehradun (UK) India
| | - Saurabh Varshney
- Department of ENT, Himalayan Institute of Medical
Sciences, HIHT University, Jolly Grant, Doiwala, Dehradun (UK) India
| | - Rakesh Kumar
- Department of ENT, Himalayan Institute of Medical
Sciences, HIHT University, Jolly Grant, Doiwala, Dehradun (UK) India
| | - Nitin Gupta
- Department of ENT, Himalayan Institute of Medical
Sciences, HIHT University, Jolly Grant, Doiwala, Dehradun (UK) India
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Cole CD, Schmidt MH. Hemangiopericytomas of the spine: case report and review of the literature. Rare Tumors 2009; 1:e43. [PMID: 21139922 PMCID: PMC2994457 DOI: 10.4081/rt.2009.e43] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2009] [Revised: 09/17/2009] [Accepted: 09/17/2009] [Indexed: 11/23/2022] Open
Abstract
We describe a rare case of a primary intracranial meningeal hemangiopericytoma (HPC) with late metastasis to the cervical spine. A 36-year-old woman had a left occipital lesion that was histopathologically identified as HPC. Fourteen years after resection, the tumor recurred and was treated with radiotherapy. Three years later, CT imaging showed a large mass in the liver consistent with metastatic HPC, and MRI of the cervical spine showed an extensive lesion of the C3 vertebral body. The patient underwent C3 corpectomy with en-bloc tumor removal and follow-up radiation with no local recurrence or other spinal metastasis for the following 4 years. Regardless of the subtype of spinal HPC, complete surgical removal and radiotherapy appear to be treatment of choice.
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Affiliation(s)
- Chad D Cole
- Department of Neurological Surgery, University of Utah, Salt Lake City, Utah
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Ruhland B, Dittmer C, Thill M, Diedrich K, Fischer D. Metastasized hemangiopericytoma of the breast: a rare case. Arch Gynecol Obstet 2009; 280:491-4. [DOI: 10.1007/s00404-009-0935-1] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2008] [Accepted: 01/06/2009] [Indexed: 12/01/2022]
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Ceylan A, Kağan Değerliyurt M, Çelenk F, Ataç MS, Sabri Uslu S. Haemangiopericytoma of the hard palate. Dentomaxillofac Radiol 2008; 37:58-61. [DOI: 10.1259/dmfr/65740001] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
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Slupski M, Piotrowiak I, Wlodarczyk Z. Local recurrence and distant metastases 18 years after resection of the greater omentum hemangiopericytoma. World J Surg Oncol 2007; 5:63. [PMID: 17553145 PMCID: PMC1906779 DOI: 10.1186/1477-7819-5-63] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2007] [Accepted: 06/06/2007] [Indexed: 12/16/2022] Open
Abstract
BACKGROUND Hemangiopericytoma occurs with increasing frequency in 5th decade of life and has prediction for retroperitoneum and extremities. A case of a local recurrence and metastases of hemangiopericytoma is described. CASE PRESENTATION Recurrence of hemangiopericytoma in the greater omentum and the jejunal mesentery as well as metastases in the retroperitoneal space were diagnosed in a 61-year-old patient who had a hemangiopericytoma of the greater omentum excised 18 years before. CONCLUSION Because of the rarity of this disease and its typical clinical course associated with late recurrence and metastases, the authors decided to present this case emphasizing the necessity of systematic oncological follow-up after the end of treatment.
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Affiliation(s)
- Maciej Slupski
- Department of Transplantation and General Surgery, Ludwik Rydygier Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, Poland
| | - Ilona Piotrowiak
- Department of Transplantation and General Surgery, Ludwik Rydygier Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, Poland
| | - Zbigniew Wlodarczyk
- Department of Transplantation and General Surgery, Ludwik Rydygier Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, Poland
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Gowans LK, Bentz ML, DeSantes KB, Thompson KJ. Successful treatment of an infant with constitutional chromosomal abnormality and hemangiopericytoma with chemotherapy alone. J Pediatr Hematol Oncol 2007; 29:409-11. [PMID: 17551404 DOI: 10.1097/mph.0b013e31806210da] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
Hemangiopericytoma is a rare vascular tumor, of which 5% to 10% occur in the pediatric population. Although usually benign in infants, local recurrence, metastasis, and deaths have been reported. Clonal chromosomal rearrangements have been described, most involving the long arm of chromosome 12. We report a case of a 6-month-old boy with an hemangiopericytoma of the left forearm initially incorrectly diagnosed as hemangioma. He was treated successfully with chemotherapy alone using vincristine, doxorubicin, actinomycin-D, and cyclophosphamide. Although cytogenetic analysis was not performed on his biopsy, it was later discovered that a prenatal karyotype had shown 46,XY,inv(12)(q15q24.1).
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Affiliation(s)
- L Kate Gowans
- Pediatric Hematology/Oncology, Cleveland Clinic Children's Hospital, Cleveland, OH 44195, and Department of Surgery, University of Wisconsin Cytogenetic Services-WSLH, University of Wisconsin Madison, WI, USA.
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Sibtain NA, Butt S, Connor SEJ. Imaging features of central nervous system haemangiopericytomas. Eur Radiol 2006; 17:1685-93. [PMID: 17131127 DOI: 10.1007/s00330-006-0471-3] [Citation(s) in RCA: 28] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2006] [Revised: 08/07/2006] [Accepted: 08/28/2006] [Indexed: 10/23/2022]
Abstract
Intracranial and spinal haemangiopericytomas are uncommon, durally based tumours. They macroscopically resemble meningiomas but are distinct histologically, have a more aggressive natural history and require different management. We present a pictorial review illustrating the radiological manifestations of these tumours that will aid in their preoperative identification.
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Affiliation(s)
- N A Sibtain
- Department of Neuroradiology, King's College Hospital, Denmark Hill, SE5 9RS, London, UK.
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Aliberti C, Benea G, Kopf B, De Giorgi U. Hepatic metastases of hemangiopericytoma: contrast-enhanced MRI, contrast-enhanced ultrasonography and angiography findings. Cancer Imaging 2006; 6:56-9. [PMID: 16766270 PMCID: PMC1693778 DOI: 10.1102/1470-7330.2006.0011] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/16/2023] Open
Abstract
Hemangiopericytoma is a rare and characteristically hypervascular tumour. We report a case of hepatic metastases of hemangiopericytoma for which there was correlative imaging by ultrasonography, ultrasonography with second-generation contrast agent (BR1), computed tomography, gadolinium-enhanced, Gd-BOPTA-enhanced and ferumoxides-enhanced magnetic resonance, and angiography. To our knowledge, this is the first reported case in which all these modalities were used in the diagnostic evaluation.
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Affiliation(s)
- Camillo Aliberti
- Department of Imaging, Delta Hospital, Lagosanto, Ferrara, Italy.
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27
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Kibar Y, Uzar AI, Erdemir F, Ozcan A, Coban H, Seckin B. Hemangiopericytoma arising from the wall of the urinary bladder. Int Urol Nephrol 2006; 38:243-5. [PMID: 16868690 DOI: 10.1007/s11255-006-6673-4] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Hemangiopericytoma (HPC) arising from within the urinary bladder is exceptionally rare. A 45-year-old man having the symptoms of left groin pain, vague suprapubic discomfort and frequency was admitted to our clinic. Pelvic tomography revealed a tumor in the bladder wall measuring 4 x 3 cm and was not clearly distinct from the lower abdominal wall. Partial cystectomy was performed and the histopathological examination confirmed the hemangiopericytoma. Three thousand rad exterior beam irradiation was performed after operation. Partial cystectomy and adjuvant radiotherapy may be a simple and effective alternative operation for the patient with HPC.
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Affiliation(s)
- Y Kibar
- Department of Urology, Gulhane Military Medical Academy, Etlik, Ankara, Turkey.
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28
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Markus J, Miller A, Smith M, Orengo I. Metastatic hemangiopericytoma of the skin treated with wide local excision and MGN-3. Dermatol Surg 2006; 32:145-7. [PMID: 16393616 DOI: 10.1111/1524-4725.2006.32023] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Jodi Markus
- Department of Dermatology, Baylor College of Medicine, One Baylor Plaza, Houston, TX 77030, USA
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29
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30
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Wilde F, Neid M, Schulz T, Sterker I, Hemprich A, Frerich B. Hämangioperizytom (extrapleuraler solitärer fibröser Tumor). ACTA ACUST UNITED AC 2005; 9:404-8. [PMID: 16220316 DOI: 10.1007/s10006-005-0649-x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
BACKGROUND Hemangiopericytoma was first mentioned in 1942. It is a very uncommon potentially malignant vascular tumour which can occur at every site of the body. According to the WHO, most of the tumours formerly diagnosed as hemangiopericytomas are considered to be extrapleural solitary fibrous tumours. The diagnosis of "hemangiopericytoma" is now only determined if a constant histological picture of hemangiopericytoma is present. The tumour can lead to lymphogenous or hematogenous metastasis. The major location of occurrence is the cutis and subcutis. It originates from the pericytes of the vascular wall. This is reflected in its vascular character and therefore the hemangiopericytoma might clinically be mistaken for a hemangioma. CASE REPORTS Patient 1: 60 years, female; diagnosis: malignant suboccipital hemangiopericytoma; size: 4.9 x 4.5 x 4.2 cm; pT1bNXMX L0 V0 Pn0; stage IA; grading G1; R0.Patient 2: 38 years, male; diagnosis: benign hemangiopericytoma infraorbital left; size 1.5 x 1.5 x 1.5 cm. DISCUSSION Most often the hemangiopericytoma becomes clinically conspicuous as a slowly growing, painless swelling. The consistency ranges from soft to dense, and the color is greyish-blue. The slow and painless growth carries the danger of a clinically wrong diagnosis and thus delayed therapy. The histological diagnosis of hemangiopericytoma is determined by biopsy. Besides histology, MRI and angiography are methods that can be employed to diagnose hemangiopericytoma. The therapy of choice is the complete tumour-resection with a safety margin of 1 cm. In the case of an aggressive growth pattern, adjuvant postoperative radiotherapy is recommended. Until now there has been no documented specific therapy concept for managing incomplete resection and the occurrence of metastasis. There are reports about chemo- and radiotherapy either on their own or combined which evidence differing degrees of success. Lifelong monitoring is necessary because recrudescences and metastases can occur even decades later.
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Affiliation(s)
- F Wilde
- Klinik und Poliklinik für Mund-, Kiefer- und Plastische Gesichtschirurgie, Universität Leipzig.
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31
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Connor SEJ, Flis C, Langdon JD. Vascular masses of the head and neck. Clin Radiol 2005; 60:856-68. [PMID: 16039921 DOI: 10.1016/j.crad.2005.04.002] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2005] [Revised: 03/22/2005] [Accepted: 04/14/2005] [Indexed: 12/19/2022]
Abstract
The classification, clinical presentation, natural history and imaging appearances of vascular masses of the head and neck are reviewed. The radiological appearances of congenital vascular masses (infantile haemangiomas and other congenital vascular tumours, high-flow and low-flow vascular malformations), acquired vascular masses (benign and malignant tumours, non-neoplastic lesions) and other hypervascular masses are described and illustrated, together with consideration of image-guided interventions.
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Affiliation(s)
- S E J Connor
- Neuroradiology Department, Kings College Hospital, London, UK.
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32
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Findik S, Akan H, Baris S, Atici AG, Uzun O, Erkan L. Preoperative embolization in surgical treatment of a primary hemangiopericytoma of the rib: a case report. J Korean Med Sci 2005; 20:316-8. [PMID: 15832008 PMCID: PMC2808613 DOI: 10.3346/jkms.2005.20.2.316] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/29/2022] Open
Abstract
Primary hemangiopericytoma of the rib is extremely rare and only a few cases have been reported. A 62-yr-old man presented with an aching chest pain and dyspnea. Thoracic computed tomography revealed a homogenous mass expanding the right seventh rib. A diagnosis of hemangiopericytoma was established by percutaneous needle biopsy. Preoperative embolization of the feeding vessels of the tumor was performed in order to prevent perioperative bleeding. There was no significant bleeding during the surgery, where complete resection of the tumor with 7th to 9th ribs with a surgical margin of 5 cm was performed. Postoperative course was uneventful and there has been no recurrence for thirteen months. To our knowledge, there has been no report to apply a preoperative embolization of a primary hemangiopericytoma of the rib.
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Affiliation(s)
- Serhat Findik
- Department of Pulmonary Medicine, Faculty of Medicine, Ondokuz Mayis University, Samsun, Turkey.
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33
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34
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Kim JH, Jung HW, Kim YS, Kim CJ, Hwang SK, Paek SH, Kim DG, Kwun BD. Meningeal hemangiopericytomas: long-term outcome and biological behavior. SURGICAL NEUROLOGY 2003; 59:47-53; discussion 53-4. [PMID: 12633961 DOI: 10.1016/s0090-3019(02)00917-5] [Citation(s) in RCA: 130] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
BACKGROUND The authors present a retrospective clinical analysis of meningeal hemangiopericytomas. The long-term outcome and biologic behavior, including local recurrence and extraneural distant metastasis, are elucidated. METHOD Clinical records and radiologic findings of 31 cases with meningeal hemangiopericytoma treated at Seoul National University Hospital and Asian Medical Center between 1982 and 1999 were carefully reviewed. The final outcome was determined by direct or phone contact and questionnaire by mail. The duration of follow-up was from 1 to 216 months (mean 77). All patients underwent craniotomy and Simpson Grade I or II resection was possible in 24 patients. Conventional radiotherapy was given in 11 patients (in 5 after total excision and in 6 for residual mass) and stereotactic radiosurgery was conducted in 6 cases. RESULTS Intracranial recurrence was seen in 12 cases (38.7%) and the mean period before the first recurrence was 104 months. The recurrence was at the primary site in 11 cases and diffuse leptomeningeal seeding occurred in the remaining case. The 5-year recurrence free rate was 59.2% and the extent of excision was the significant factor (72.7% in total excision group and 20.8% in the incomplete excision group, p = 0.006). In four patients (12.9%), extraneural metastases developed at an average of 107 months. Six patients died during the follow-up period; however, 2 of these died of unrelated causes. CONCLUSIONS Complete excision is the most important factor in reducing recurrence. However, recurrence may occur even after complete excision. Careful long-term follow-up is mandatory because of the long disease-free interval.
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Affiliation(s)
- Jeong Hoon Kim
- Department of Neurological Surgery, Asan Medical Center, College of Medicine, University of Ulsan, Seoul, South Korea
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35
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Hallén M, Parada LA, Gorunova L, Pålsson B, Dictor M, Johansson B. Cytogenetic abnormalities in a hemangiopericytoma of the spleen. CANCER GENETICS AND CYTOGENETICS 2002; 136:62-5. [PMID: 12165454 DOI: 10.1016/s0165-4608(01)00664-1] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
To date, only 16 cytogenetically abnormal hemangiopericytomas (HP) have been reported. Despite this low number, some characteristic karyotypic features have already emerged: most HP are near-diploid and breakpoints in 12q13, 12q24, and 19q13 seem to be common, with t(12;19)(q13;q13) being a recurrent translocation. Here, we report the first case of a probably benign splenic HP with chromosomal abnormalities. The abnormal karyotype was 47,XX,t(5;22;11)(q31;q11;q13),+10. None of these abnormalities have previously been reported in HP, suggesting that the karyotypic pattern of splenic HP may differ from soft tissue HP.
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Affiliation(s)
- Magnus Hallén
- Department of Surgery, University Hospital, SE-221 85, Lund, Sweden.
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36
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Bianchi B, Poli T, Bertolini F, Sesenna E. Malignant hemangiopericytoma of the infratemporal fossa: report of a case. J Oral Maxillofac Surg 2002; 60:309-12. [PMID: 11887146 DOI: 10.1053/joms.2002.30589] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Bernardo Bianchi
- Department of Maxillofacial Surgery, School of Medicine, University Hospital of Parma, Parma, Italy
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37
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Lema Grille J, Cimadevila García A, Rodríguez Núñez H, Durana Tonder C, Blanco Parra M. [Giant retroperitoneal hemangiopericytoma]. Actas Urol Esp 2001; 25:672-5. [PMID: 11765554 DOI: 10.1016/s0210-4806(01)72696-4] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
We present a new case of retroperitoneal hemangiopericytoma with the special feature of a big size tumour. Due to this feature and also to the hypervascularitation we proceeded a preoperative arterial embolization that made possible its complete removal. We did a bibliographic review showing the fundamental clinic pathologic and therapeutical basic aspects of this tumours.
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Affiliation(s)
- J Lema Grille
- Servicio de Urología, Hospital Clínico Universitario, Santiago de Compostela, La Coruña
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38
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Prakasha B, Jacob R, Dawson A, Joannides T. Haemangiopericytoma diagnosed from a metastasis 11years after surgery for "atypical meningioma". Br J Radiol 2001; 74:856-8. [PMID: 11560836 DOI: 10.1259/bjr.74.885.740856] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
Meningeal haemangiopericytoma (HPC) is a rare tumour often mistakenly reported as "vascular meningioma". Unlike meningiomas, HPC has a high rate of local recurrence and distant metastases, which may occur several years after initial treatment. We report a patient in whom a HPC was misdiagnosed as benign vascular meningioma and the patient discharged from follow-up. HPC was diagnosed 11 years later from biopsy of a skeletal metastasis. Histological review of the meningeal tumour confirmed the diagnosis of meningeal HPC. Meningeal HPCs resemble meningiomas clinically, radiologically and even light microscopically. As a result, they can be reported as atypical meningioma, as in this case. HPC's are more aggressive than typical meningiomas, with a high rate of recurrence and distant metastasis, often late in the course of the disease. Management of meningeal HPC differs from that of typical meningioma, with a need for post-operative radiotherapy and long-term follow-up.
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Affiliation(s)
- B Prakasha
- Department of Radiotherapy, Singleton Hospital, Swansea, UK
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39
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Ferrozzi F, Armaroli S, Pedrazzini M, Tognini G, Pavone P. Duodenal hemangiopericytoma: CT and MRI findings. Clin Imaging 2001; 25:101-3. [PMID: 11483418 DOI: 10.1016/s0899-7071(01)00258-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Hemangiopericytoma (HPC) is a rare mesenchymal tumor generally occurring in adults and originating from the pericytes. The tumor more commonly affects the soft tissues of the extremities, the pelvis, and the retroperitoneum. We describe the computed tomographic and magnetic resonance appearance of a patient affected by HPC of the duodenum.
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Affiliation(s)
- F Ferrozzi
- Istituto di Scienze Radiologiche, Università degli Studi di Parma, Viale Gramsci 14, Parma I-43100, Italy.
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40
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Benchekroun A, Kasmaoui E, Alami M, Ghadouane M, Jira H, Belahnech Z, Faik M. Hémangiopéricytome rétropéritonéal géant : une nouvelle observation. ANNALES D'UROLOGIE 2001; 35:104-7. [PMID: 11355278 DOI: 10.1016/s0003-4401(01)00010-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Abstract
Hemangiopericytomas are a rare vascular tumours that are derived from Zimmermann pericytes. Retroperitoneal hemangiopericytoma is usually bulky, clinical silent, and malignant. We present a 48 years old man, with compressive symptoms and a painless mass due to a giant retroperitoneal hemangiopericytoma weighing 3 kg. We are prompted to present this case as it is believed to be the largest hemangiopericytoma reported to date.
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Affiliation(s)
- A Benchekroun
- Clinique urologique A, hôpital Avicenne, CHU Rabat, Maroc
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41
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Abstract
PURPOSE To report a series of patients with hemangiopericytoma (HP) of the head and neck, to review pathological features of these tumors, and to discuss management options. MATERIALS AND METHODS A retrospective review of the medical records at the University of California, Los Angeles (UCLA) Medical Center in Los Angeles, CA, was done in order to identify those patients with primary HP of the head and neck, including soft tissue and mucosal sites. RESULTS Ten patients with HP of the head and neck were identified. There was an equal sex distribution and an average age of 36 (range 10-65). Seven of the tumors arose from soft tissue sites in the head and neck, and the remaining 3 arose from the mucosa. All patients underwent wide excision of the primary lesion with a local recurrence rate of 40%. Thirty percent of patients developed metastatic lung disease 0 to 8 years after initial diagnosis. Each patient who developed metastatic disease had abundant mitoses on pathological review compared with rare or absent mitoses in the lesions that took a more benign course. CONCLUSIONS Pathological appearance of resected HP is predictive of later metastatic potential. Long-term follow-up is necessary in patients even after radical resection because recurrence or metastasis may be delayed by many years.
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Affiliation(s)
- K R Billings
- Department of Otolaryngology, Southwestern Medical Center, Dallas, TX, USA
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42
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Sakata K, Aoki Y, Tago M, Karasawa K, Nakagawa K, Hasezawa K, Muta N, Terahara A, Onogi Y, Sasaki Y, Hareyama M. Radiotherapy of bone metastases of a spinal meningeal hemangiopericytoma. Strahlenther Onkol 1998; 174:217-9. [PMID: 9581183 DOI: 10.1007/bf03038530] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
Hemangiopericytoma is a rare tumor arising from pericapillary cells or pericytes of Zimmerman, and can occur anywhere capillaries are found. We describe a patient with a meningeal hemangiopericytoma who was treated with primary surgical resection and experienced multiple bone metastases 20 years after the first treatment. This patient with multiple bone metastases was treated with multiple courses of irradiation and good palliation was achieved.
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Affiliation(s)
- K Sakata
- Department of Radiology, Tokyo University School of Medicine, Japan
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43
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Koyama H, Harada A, Nakao A, Nonami T, Kurokawa T, Kaneko T, Hosono J, Oshima K, Takagi H. Intracranial hemangiopericytoma with metastasis to the pancreas. Case report and literature review. J Clin Gastroenterol 1997; 25:706-8. [PMID: 9451701 DOI: 10.1097/00004836-199712000-00040] [Citation(s) in RCA: 20] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Affiliation(s)
- H Koyama
- Department of Surgery II, Nagoya University School of Medicine, Japan
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44
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Abstract
PURPOSE To report the clinical and histopathologic features of orbital hemangiopericytoma. METHOD We review the clinical and histopathologic features in seven patients. RESULTS Ultrasonography, computed tomography, and magnetic resonance imaging defined the location and extent of the tumor in each patient but did not disclose pathognomonic features for the specific diagnosis of hemangiopericytoma. The predominating histopathologic feature of each tumor was a mixed pattern of ovoid cells and sinusoidal space formations. Five patients showed mild to severe cellular atypia; three had obvious pleomorphism and increased number of abnormal mitotic figures. Tumor cells disclosed cytoplasmic reactivity for vimentin but in five cases were negative for other immunologic markers. Six patients received surgical treatment with an attempt for total removal of the tumor; one had biopsy and radiation therapy. In two patients, radiation therapy was given in addition to tumor removal with orbital exenterations. Three patients died with recurrent and metastatic disease, and four patients are alive without tumor for a follow-up period ranging from 3 to 9 years. CONCLUSIONS Orbital hemangiopericytoma may behave as a malignant tumor, leading to local recurrence or metastasis, or both. Clinical and histopathologic findings should be considered jointly to evaluate the clinical course; histopathologic findings alone are not sufficient to predict the biologic behavior of this tumor.
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Affiliation(s)
- Z A Karcioglu
- Tulane University Medical School, New Orleans, Louisiana, USA
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45
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Aziz Z, Zahid M, Qazi S, Zaman H. Haemangiopericytoma of the heart: report of a case with combined modality treatment. Eur J Surg Oncol 1997; 23:459-61. [PMID: 9393581 DOI: 10.1016/s0748-7983(97)93735-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023] Open
Affiliation(s)
- Z Aziz
- Allama Medical College, Jinnah Hospital, Lahore, Pakistan
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46
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Pandey M, Kothari KC, Patel DD. Haemangiopericytoma: current status, diagnosis and management. EUROPEAN JOURNAL OF SURGICAL ONCOLOGY 1997; 23:282-5. [PMID: 9315052 DOI: 10.1016/s0748-7983(97)90534-5] [Citation(s) in RCA: 34] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
Haemangiopericytoma (HPC) is a rare tumour, characterized by unidentifiable light microscopic features. Despite first being described over 50 years ago, nothing much was known about this tumour until the early 1980s, when ultrastructural studies and tumour markers made it possible to differentiate it from other mesenchymal tumours. Advancements in radiology and the emergence of MRI technology helped surgeons in better planning. Pre-operative vascular embolization helped to reduce the menace of operative haemorrhage. Improvements in localization and delivery of radiotherapy, coupled with early diagnosis, has tremendously improved the treatment outcome of haemangiopericytoma.
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Affiliation(s)
- M Pandey
- Department of Surgical Oncology, Gujarat Cancer and Research Institute, Ahmedabad, India
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47
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Celik I, Başçil N, Yalçin S, Güllü IH, Kars A, Barişta I, Tekuzman G. Ifosfamide-based chemotherapy for recurrent or metastatic hemangiopericytoma. Acta Oncol 1997; 36:348. [PMID: 9208911 DOI: 10.3109/02841869709001277] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Affiliation(s)
- I Celik
- Hacettepe University Institute of Oncology, Department of Medical Oncology, Ankara, Turkiye
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48
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Lin JC, Hsu CY, Jan JS, Chen JT. Malignant hemangiopericytoma of the floor of the mouth: report of a case and review of the literature. J Oral Maxillofac Surg 1996; 54:1020-3. [PMID: 8765393 DOI: 10.1016/s0278-2391(96)90405-x] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Affiliation(s)
- J C Lin
- Department of Radiation Oncology, Taichung Veterans General Hospital, Taiwan, R.O.C
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49
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Comacchio F, D'Eredità R, Poletto E, Poletti A, Marchiori C. Hemangiopericytoma of the Skull Base and Collet-Sicard Syndrome: A Case Report. EAR, NOSE & THROAT JOURNAL 1995. [DOI: 10.1177/014556139507401212] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Hemangiopericytoma (HP) is a mesenchymal tumor that originates from the pericytes of the capillary walls. This is a rare neoplasm, particularly in the head and neck; the skull base is involved exceptionally. We report a case of a large HP located in the jugular foramen. The last four cranial nerves were involved, causing a Collet-Sicard syndrome associated with facial palsy. Only one case of HP and Collet-Sicard syndrome is reported in the literature. The clinical course of the disease is described, emphasizing the long period of elapsed time between onset of the complaints and the final diagnosis. Diagnostic procedures and immunohistochemical evaluation are analyzed, along with the possible differential diagnosis with other pathological processes that more frequently involve the jugular foramen.
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Affiliation(s)
- F. Comacchio
- Institute of Otorhinolaryngology, University of Padua, Padua, Italy
| | - R. D'Eredità
- Institute of Otorhinolaryngology, University of Padua, Padua, Italy
| | - E. Poletto
- Institute of Otorhinolaryngology, University of Padua, Padua, Italy
| | - A. Poletti
- Institute of Anatomical Pathology, University of Padua, Padua, Italy
| | - C. Marchiori
- Institute of Otorhinolaryngology, University of Padua, Padua, Italy
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50
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Abstract
Hemangiopericytomas are rare vascular tumours that are derived from pericytes. Retroperitoneal hemangiopericytomas are usually bulky but clinically silent when diagnosed because of their slow rate of growth. A 49-year-old man, who presented with only vague symptoms of abdominal fullness for several months, was found on computed tomography to have a huge well-defined mass with areas of low attenuation and well-enhanced septa. The tumour was successfully resected and was confirmed to be a malignant retroperitoneal hemangiopericytoma. It measured 30 cm in the greatest dimension. We are prompted to present this case as it is believed to be the largest tumour reported to date.
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Affiliation(s)
- S C Chan
- Department of Diagnostic Radiology, Chang Gung Memorial Hospital, Keelung, Taiwan, ROC
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