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Tan MWP, Wei Tay AY, Tang PY, Chew KY, Nicholas Yeo EM. Myopericytoma: A Review of Twenty-Three Cases Over Twelve Years and a Case Report of a Rare Neoplasm. Am J Dermatopathol 2022; 44:623-631. [PMID: 35980090 DOI: 10.1097/dad.0000000000002130] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
Myopericytoma is a rare soft tissue tumor with a predilection for the distal extremities. It is commonly found in the skin and subcutaneous tissues and usually takes a benign course. Current knowledge is limited to isolated case series and reports; hence, this study aims to report our tertiary institution's experience with this uncommon entity. A review of our institution's pathology records for cases of myopericytoma was performed. From January 2009 to September 2020, 23 cases of myopericytoma were identified and their clinicopathologic features were reported. A unique case of myopericytoma of the ankle from the series was also highlighted as a case report. Among the 22 cutaneous cases, 18 were in the extremities and 4 in the head and neck. One patient had an intracranial lesion. Most patients developed asymptomatic nodules (72.2%), but 1 patient had a locally aggressive tumor on presentation. None recurred despite marginal excision in some patients (80.0%). In conclusion, pathologists and surgeons who encounter this rare neoplasm can reassure patients of its benign tendency.
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Affiliation(s)
- Marcus Wei Ping Tan
- Medical Officer, Department of Orthopaedic Surgery, Singapore General Hospital, Singapore, , Singapore
| | - Adriel You Wei Tay
- Resident, Department of Orthopaedic Surgery, Singapore General Hospital, Singapore, Singapore
| | - Po Yin Tang
- Consultant, Department of Anatomical Pathology, Singapore General Hospital, Singapore, Singapore
| | - Khong Yik Chew
- Consultant, Department of Plastic, Reconstructive & Aesthetic Surgery, Singapore General Hospital, Singapore, Singapore ; and
| | - Eng Meng Nicholas Yeo
- Consultant, Department of Plastic, Reconstructive & Aesthetic Surgery, Singapore General Hospital, Singapore, Singapore
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Porat Ben Amy D, Yaffe V, Kawar R, Akrish S, Abu El-Naaj I. Oral myopericytoma: a rare pediatric case report and a review of the literature. BMC Oral Health 2021; 21:176. [PMID: 33827713 PMCID: PMC8028720 DOI: 10.1186/s12903-021-01534-y] [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: 10/24/2020] [Accepted: 03/23/2021] [Indexed: 12/02/2022] Open
Abstract
Background Myopericytoma is a rare mesenchymal neoplasm with perivascular myoid differentiation that arises most commonly in middle adulthood. The lesion generally involves the subcutaneous tissue of distal extremities. Myopericytoma of the oral cavity is extremely rare. Herein we report a case of oral myopericytoma in a pediatric patient, who was treated via a conservative approach with a follow up of 8 years. The case is followed by a literature review. To our knowledge this is the first documented case of oral myopericytoma affecting a patient of such a young age.
Case presentation A 6 years old boy was referred to the maxillofacial surgery department for the evaluation of a solitary growth of the right maxillary buccal and palatal gingiva. Histology and immunohistochemistry confirmed the diagnosis of myopericytoma. Conclusions Our patient was treated by local excision with no recurrence in 8 years of follow up. Conservative approach should be considered for the treatment oral myopericytoma especially in young patients in tooth bearing areas.
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Affiliation(s)
- Dalit Porat Ben Amy
- Oral Medicine Unit, Baruch Padeh Medical Center, 15208, Poriya, Lower Galilee, Israel. .,The Azrieli Faculty of Medicine in the Galilee, Bar Ilan University, 1311502, Safed, Israel.
| | - Victoria Yaffe
- Department of Oral and Maxillofacial Surgery, Baruch Padeh Medical Center, 15208, Poriya, Lower Galilee, Israel
| | - Rawan Kawar
- Department of Periodontology and Oral Implantology, School of Dental Medicine, Tel Aviv University, Tel-Aviv, Israel
| | - Sharon Akrish
- Department of Oral and Maxillofacial Surgery, Rambam Medical Center, Haifa, Israel.,Department of Pathology, Rambam Medical Center, Haifa, Israel.,Technion School of Medicine, Haifa, Israel
| | - Imad Abu El-Naaj
- Department of Oral and Maxillofacial Surgery, Baruch Padeh Medical Center, 15208, Poriya, Lower Galilee, Israel.,The Azrieli Faculty of Medicine in the Galilee, Bar Ilan University, 1311502, Safed, Israel
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Crombé A, Bouhamama A, Loarer FL, Kind M. Radiopathological correlations of myopericytomas of the hand: emphasis on the MRI perivascular pushing growth pattern. BJR Case Rep 2020; 6:20190074. [PMID: 33029364 PMCID: PMC7526997 DOI: 10.1259/bjrcr.20190074] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2019] [Revised: 11/28/2019] [Accepted: 12/09/2019] [Indexed: 11/06/2022] Open
Abstract
Myopericytomas are exceedingly rare soft-tissue tumors with less than 10 cases including radiological depictions. We report three new cases of benign myopericytomas located in the soft-tissues of the hand in adult patients. A pre-treatment MRI was available for all patients and systematically evidenced well-defined, lobulated tumors closely related to the superficial palmar vascular arch and/or digital vessels with a perivascular pushing growth pattern that correlated with pathological findings. Though rare, this small case series show that myopericytomas display recurrent imaging features that could support their radiological diagnosis.
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Affiliation(s)
- Amandine Crombé
- Department of Radiology, Institut Bergonié, Comprehensive Cancer Center of Aquitaine, F-33000, Bordeaux, France
| | - Amine Bouhamama
- Department of Radiology, Centre Léon Bérard, Comprehensive Cancer Center of Rhone Alpes, F-33000, Bordeaux, France
| | - François Le Loarer
- Department of Pathology, Institut Bergonié, Comprehensive Cancer Center of Aquitaine, F-33000, Bordeaux, France
| | - Michèle Kind
- Department of Radiology, Institut Bergonié, Comprehensive Cancer Center of Aquitaine, F-33000, Bordeaux, France
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Muro Bushart N, Tharun L, Oheim R, Paech A, Kiene J. Tumorinduzierte Osteomalazie, verursacht durch ein FGF23-sezernierendes Myoperizytom. DER ORTHOPADE 2019; 49:1-9. [DOI: 10.1007/s00132-019-03719-4] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
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Morzycki A, Joukhadar N, Murphy A, Williams J. Digital Myopericytoma: A Case Report and Systematic Literature Review. J Hand Microsurg 2017; 9:32-36. [PMID: 28442859 DOI: 10.1055/s-0037-1601397] [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] [Received: 01/18/2017] [Accepted: 02/23/2017] [Indexed: 10/19/2022] Open
Abstract
A myopericytoma (MP) is an exceedingly rare perivascular tumor of unknown etiology. Given their potential for mimicry and malignancy, MP tumors pose a unique challenge for surgeons and may be overlooked on differential diagnosis. We present a case report of an otherwise healthy 33-year-old right-hand dominant male who presented to our outpatient clinic with a 2-month history of painless swelling and erythema of the pulp of his left index finger. Subsequent plain film X-ray showed near-complete bony destruction of his distal phalanx. Pathological evaluation of an incisional biopsy showed a benign variant of MP. The lesion was treated by excision with tumor shelling, and there was no evidence of recurrence 81 days postoperatively. A systematic literature review of the management and outcome of all known cases of hand and wrist MP is presented.
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Affiliation(s)
- Alexander Morzycki
- Division of Plastic Surgery, Dalhousie University, Halifax, Nova Scotia, Canada
| | - Nadim Joukhadar
- Division of Plastic Surgery, Dalhousie University, Halifax, Nova Scotia, Canada
| | - Amanda Murphy
- Division of Plastic Surgery, Dalhousie University, Halifax, Nova Scotia, Canada
| | - Jason Williams
- Division of Plastic Surgery, Dalhousie University, Halifax, Nova Scotia, Canada
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Valero J, Salcini JL, Gordillo L, Gallart J, González D, Deus J, Lahoz M. Intravascular myopericytoma in the heel: case report and literature review. Medicine (Baltimore) 2015; 94:e642. [PMID: 25789958 PMCID: PMC4602481 DOI: 10.1097/md.0000000000000642] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/03/2022] Open
Abstract
Intravascular myopericytoma (IVMP), regarded as a variant of myopericytoma, is a rare tumor. Very few cases have been described, none in the foot.The first case of IVMP located in the heel of the foot is described in this article. A literature review is reported of all cases of IVMP published in the English literature.A 48-year-old man possessed an IVMP on the heel of the right foot. The physical examination and histopathological and ultrasound studies are described. The literature review yielded 5 cases of IVMP, 2 of which were in the thigh and 1 each in the oral mucosa, the periorbital region, and the leg.The possibility that these lesions may be malignant suggests that the histopathological study of vascular tumors should include immunohistochemical tests.
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Affiliation(s)
- José Valero
- From the Department of Human Anatomy and Histology (ML, JV, JG, DG), Department of Surgery (JD), Zaragoza University, Zaragoza, Spain; Department of Podiatry (JLS, LG), Sevilla University, Sevilla, Spain
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