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Yuan J, Li J, Dong Z, Xu W, Wang Z. Primary hepatic myopericytoma coexisting with multiple cystic hepatic lesions: a case report. World J Surg Oncol 2023; 21:15. [PMID: 36658645 PMCID: PMC9854107 DOI: 10.1186/s12957-023-02894-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2022] [Accepted: 01/10/2023] [Indexed: 01/21/2023] Open
Abstract
BACKGROUND Hepatic myopericytoma (MPC) is an extremely rare pathological entity in the liver. Conversely, cystic hepatic lesions are a group of heterogeneous lesions encountered commonly in daily practice. Here, we report a unique case of the coexistence of primary hepatic MPC and multiple cystic hepatic lesions along with our perceptions on its diagnosis and treatment. CASE PRESENTATION A 56-year-old female patient was found to have a left liver mass during a routine physical examination. Computer tomography (CT) and magnetic resonance imaging (MRI) confirmed the existence of a left hepatic neoplasm along with multiple hepatic cysts but could not exclude the possible malignant nature of the neoplasm. Computer tomography (CT) also identified an enlarged mediastinal lymph node with a maximum diameter of 4.3 cm, which further underwent core needle biopsy under CT guidance. A histopathological examination was performed to rule out malignancy. Afterwards, the patient underwent left hemihepatectomy to resect a solid tumor of 5.5 cm × 5 cm × 4.7 cm with multiple cystic lesions which were histopathologically examined to establish the diagnosis of myopericytoma with hepatic cysts. Postoperatively, the patient recovered from the surgery quickly without significant adverse events and was not found to have a reoccurrence of the primary pathological entity. CONCLUSIONS This is the first reported case of a patient with the co-existence of primary hepatic myopericytoma and multiple cystic hepatic lesions undergoing surgical treatment with eventual recovery.
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Affiliation(s)
- Jing Yuan
- grid.414252.40000 0004 1761 8894Department of Pathology, The First Medical Center, Chinese PLA General Hospital, No. 28 Fuxing Road, Haidian District, Beijing, 100853 China
| | - Jie Li
- grid.414252.40000 0004 1761 8894Department of Pathology, The First Medical Center, Chinese PLA General Hospital, No. 28 Fuxing Road, Haidian District, Beijing, 100853 China
| | - Zhouhuan Dong
- grid.414252.40000 0004 1761 8894Department of Pathology, The First Medical Center, Chinese PLA General Hospital, No. 28 Fuxing Road, Haidian District, Beijing, 100853 China
| | - Wei Xu
- grid.414252.40000 0004 1761 8894Department of Radiology, The First Medical Center, Chinese PLA General Hospital, Beijing, 100853 China
| | - Zhanbo Wang
- grid.414252.40000 0004 1761 8894Department of Pathology, The First Medical Center, Chinese PLA General Hospital, No. 28 Fuxing Road, Haidian District, Beijing, 100853 China
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Manole S, Pintican R, Manole V, Rusneac C, Schiau C, Bene I, Solomon C, Dudea S. Rare Case of Intravascular Myopericytoma-Imaging Characteristics and Review of the Literature. Diagnostics (Basel) 2022; 12:diagnostics12102473. [PMID: 36292162 PMCID: PMC9600947 DOI: 10.3390/diagnostics12102473] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2022] [Revised: 09/26/2022] [Accepted: 10/05/2022] [Indexed: 11/16/2022] Open
Abstract
Myopericytoma is a rare vessel wall tumor, a subtype of hemangiopericytoma that usually develops subcutaneously. Intravascular myopericytoma is a rarer subtype, with only few cases reported in the literature and even fewer with imaging modalities included. We report the case of a 36-year-old man who was referred to our institution with a painless, palpable mass in the right arm and was evaluated with MRI, grey-scale and Doppler-mode ultrasound. Tumor histopathology and imaging characteristics are presented together with the role that each imaging modality played in the management of the patient.
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Affiliation(s)
- Simona Manole
- Department of Radiology, “Niculae Stancioiu” Heart Institute, Motilor Street, n. 19-21, 400001 Cluj-Napoca, Romania
- Department of Radiology, University of Medicine and Pharmacy “Iuliu Hatieganu” Cluj-Napoca, Babes Street, nr. 8, 400000 Cluj-Napoca, Romania
| | - Roxana Pintican
- Department of Radiology, University of Medicine and Pharmacy “Iuliu Hatieganu” Cluj-Napoca, Babes Street, nr. 8, 400000 Cluj-Napoca, Romania
- Correspondence:
| | - Viorel Manole
- Department of Cardiovascular Surgery, “Niculae Stancioiu” Heart Institute, Motilor Street, n. 19-21, 400001 Cluj-Napoca, Romania
| | - Cosmin Rusneac
- Department of Radiology, Emergency Clinical County Hospital Cluj-Napoca, Clinicilor Street, n. 3-5, 400006 Cluj-Napoca, Romania
| | - Calin Schiau
- Department of Radiology, University of Medicine and Pharmacy “Iuliu Hatieganu” Cluj-Napoca, Babes Street, nr. 8, 400000 Cluj-Napoca, Romania
| | - Ioana Bene
- Department of Radiology, University of Medicine and Pharmacy “Iuliu Hatieganu” Cluj-Napoca, Babes Street, nr. 8, 400000 Cluj-Napoca, Romania
| | - Carolina Solomon
- Department of Radiology, University of Medicine and Pharmacy “Iuliu Hatieganu” Cluj-Napoca, Babes Street, nr. 8, 400000 Cluj-Napoca, Romania
| | - Sorin Dudea
- Department of Radiology, University of Medicine and Pharmacy “Iuliu Hatieganu” Cluj-Napoca, Babes Street, nr. 8, 400000 Cluj-Napoca, Romania
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3
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Guo M, Chen X, Zhang G, Wang Y. Pontine Myopericytoma: Case Report and Literature Review. Front Oncol 2022; 12:903655. [PMID: 35651813 PMCID: PMC9148993 DOI: 10.3389/fonc.2022.903655] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2022] [Accepted: 04/19/2022] [Indexed: 11/13/2022] Open
Abstract
Myopericytoma (MPC) is a benign soft tissue tumor that develops from perivascular myoid cells and is part of the perivascular tumor group. MPC most commonly occurs in the subcutaneous soft tissues of the extremities, while intracranial MPC is remarkably rare. Herein, we report the case of a 45-year-old woman with myopericytoma who had a 2-week history of recurrent dizziness. Magnetic resonance imaging (MRI) revealed an irregular mass in the pons, with nodular enhancement of the mass on contrast-enhanced scans. The mass was considered a vascular lesion and was highly suspected to be a hemangioblastoma, prompting surgical intervention for the patient. The postoperative pathological report corrected the initial diagnosis, hemangioblastoma, to MPC. Intracranial MPC is extremely rare and there are no detailed imaging sources for this condition; furthermore, MPC occurrence in the pons has not been reported previously. This report presents the etiological characteristics intracranial MPC as visualized through MRI data alongside a comparative discussion on other reported diagnoses that resemble MPC. The case findings will provide a more widespread understanding for radiologists regarding the differential diagnosis of intracranial blood-rich supply lesions.
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Affiliation(s)
| | | | | | - Yongpeng Wang
- Department of Radiology, The Second Affiliated Hospital of Zun Yi Medical University, Zunyi, China
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Schiavetti A, Pecorella I, Masselli G, Ceccanti S, Cozzi DA. Splenic myopericytoma/glomangiopericytoma in an adolescent male. Pediatr Blood Cancer 2022; 69:e29406. [PMID: 34665513 DOI: 10.1002/pbc.29406] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/25/2021] [Revised: 09/23/2021] [Accepted: 09/27/2021] [Indexed: 11/11/2022]
Affiliation(s)
- Amalia Schiavetti
- Department of Maternal and Urological Sciences - Pediatric Oncology Unit, "Sapienza" University of Rome, Rome, Italy
| | - Irene Pecorella
- Department of Radiological Sciences, Oncology and Pathology, "Sapienza" University of Rome, Rome, Italy
| | - Gabriele Masselli
- Department of Radiological Sciences, Oncology and Pathology, "Sapienza" University of Rome, Rome, Italy
| | - Silvia Ceccanti
- Department of Maternal and Urological Sciences - Pediatric Oncology Unit, "Sapienza" University of Rome, Rome, Italy
| | - Denis A Cozzi
- Department of Maternal and Urological Sciences - Pediatric Oncology Unit, "Sapienza" University of Rome, Rome, Italy
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Alqassab AT, Alsadah FZ, Elsharkawy T, Alhamad M, Alsayed H. Ankle Myopericytoma: A Rare Case Report and Cytogenetic Study. Cureus 2022; 14:e21307. [PMID: 35186568 PMCID: PMC8849462 DOI: 10.7759/cureus.21307] [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] [Accepted: 01/16/2022] [Indexed: 11/17/2022] Open
Abstract
Myopericytoma (MPC) is an uncommon benign neoplasm of the skin and soft tissues belonging to a spectrum of tumors that are histologically recognized by their distinctive perivascular myoid cell differentiation. These distinct tumors are more prevalent among middle-aged males, and they arise more frequently in the subcutaneous tissue of the four extremities. In this paper, myopericytoma is reported in a 59-year-old Saudi male, presented with a painless small cyst involving the left ankle suspected clinically to be a ganglion cyst. Following surgical excision of the cyst, the diagnosis of myopericytoma was made based on the histopathological pattern of the disease. This paper focuses on the clinical and histopathological findings of myopericytoma and emphasizes the importance of immunohistochemistry as well as molecular testing in reaching the final diagnosis.
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Yang P, Shi X, Li J, Qian L. Imaging features of myopericytoma of the breast: A case report and review of the literature. Radiol Case Rep 2021; 16:98-102. [PMID: 33204380 PMCID: PMC7649600 DOI: 10.1016/j.radcr.2020.10.051] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2020] [Revised: 10/24/2020] [Accepted: 10/26/2020] [Indexed: 11/02/2022] Open
Abstract
Myopericytoma is a rare perivascular tumor commonly arising in the superficial soft tissue and subcutaneous tissue of the distal extremities. We report the first case of myopericytoma occurring in the breast, focusing on the imaging and histopathological characteristics of the tumor. From an imaging perspective, myopericytoma presents a well-circumscribed, marked hypervascularity, and intense enhancement after injection of contrast material. Imaging examinations, such as ultrasonography and magnetic resonance imaging, can contribute to the detection of tumor invasion to adjacent structures or distant metastases, and provide evidence for a treatment plan.
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Affiliation(s)
- PeiPei Yang
- Department of Ultrasound, Capital Medical University Affiliated Beijing Friendship Hospital, Beijing 100050, China
| | - XianQuan Shi
- Department of Ultrasound, Capital Medical University Affiliated Beijing Friendship Hospital, Beijing 100050, China
| | - JianMing Li
- Department of Ultrasound, Capital Medical University Affiliated Beijing Friendship Hospital, Beijing 100050, China
| | - LinXue Qian
- Department of Ultrasound, Capital Medical University Affiliated Beijing Friendship Hospital, Beijing 100050, China
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Kang X, Li F, Gao H, Wang S. Imaging performance and preoperative differential diagnosis of multiple myopericytoma in the liver: A case report. Mol Clin Oncol 2020; 13:66. [PMID: 33014365 PMCID: PMC7520754 DOI: 10.3892/mco.2020.2136] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2019] [Accepted: 04/22/2020] [Indexed: 12/15/2022] Open
Abstract
Myopericytoma is a rare type of benign tumor, which commonly affects all four limbs. The occurrence of myopericytoma in the liver is extremely rare. Myopericytoma with a size of >1 cm in diameter in the liver has not been previously reported. Due to the limited number of cases, the preoperative diagnosis of liver myopericytoma based on laboratory and imaging examinations is difficult. In the present case report, a patient with multiple myopericytoma in the liver, with a maximum diameter of 4.5 cm was described, with accompanying computed tomography (CT) and positron emission tomography/CT (PET/CT) imaging profiles. The aim of the present report was to discuss the preoperative differential diagnosis between myopericytoma and other common liver neoplasms, such as intrahepatic cholangiocarcinoma or liver metastasis.
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Affiliation(s)
- Xi Kang
- Department of Hepatobiliary Surgery, Hebei Medical University 4th Hospital, Shijiazhuang, Hebei 050011, P.R. China
| | - Fang Li
- Department of Pathology, Hebei Medical University 4th Hospital, Shijiazhuang, Hebei 050011, P.R. China
| | - Han Gao
- Department of Hepatobiliary Surgery, Hebei Medical University 4th Hospital, Shijiazhuang, Hebei 050011, P.R. China
| | - Shunxiang Wang
- Department of Hepatobiliary Surgery, Hebei Medical University 4th Hospital, Shijiazhuang, Hebei 050011, P.R. China
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Weng X, Zhang M, Guan H, Sun Y, Wu R, Xu M, Liu X. Myopericytoma of the stomach: report of one case and review of literature. INTERNATIONAL JOURNAL OF CLINICAL AND EXPERIMENTAL PATHOLOGY 2020; 13:1771-1778. [PMID: 32782704 PMCID: PMC7414471] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Received: 03/27/2020] [Accepted: 04/28/2020] [Indexed: 06/11/2023]
Abstract
Myopericytoma is an uncommon, slow-growing benign tumour of concentrically distributed perivascular myoid cells, that occurs generally in the skin and superficial soft tissues especially in distal extremities. In the visceral organs, it is particularly rare. We provide the first report of this rare entity in the stomach. A 45-year-male presented to an outside hospital because of pharyngalgia and cough 10 days prior. Endoscopic ultrasonography revealed a 0.92 cm × 0.92 cm hypoechoic lesion in the submucosa of sinuses ventriculi. For further diagnosis and treatment, the patient came to our hospital, and underwent endoscopic submucosal excavation (ESE), without adjuvant therapy. Postoperative pathology was myopericytoma. No recurrence was found in the follow-up of 27 months. In conclusion, myopericytoma is a comparatively newly described disease entity approved by the World Health Organization classification for tumours of soft tissue. The present report shows the first case of myopericytoma of the stomachto remind clinicians and pathologists that myopericytoma may be encountered at this location.
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Affiliation(s)
- Xin Weng
- Department of Pathology, Shenzhen Second People's Hospital, The First Affiliated Hospital of Shenzhen University Health Science Center Shenzhen, Guangdong, China
| | - Meng Zhang
- Department of Pathology, Shenzhen Second People's Hospital, The First Affiliated Hospital of Shenzhen University Health Science Center Shenzhen, Guangdong, China
| | - Hong Guan
- Department of Pathology, Shenzhen Second People's Hospital, The First Affiliated Hospital of Shenzhen University Health Science Center Shenzhen, Guangdong, China
| | - Yanhua Sun
- Department of Pathology, Shenzhen Second People's Hospital, The First Affiliated Hospital of Shenzhen University Health Science Center Shenzhen, Guangdong, China
| | - Ruinuan Wu
- Department of Pathology, Shenzhen Second People's Hospital, The First Affiliated Hospital of Shenzhen University Health Science Center Shenzhen, Guangdong, China
| | - Meiquan Xu
- Department of Pathology, Shenzhen Second People's Hospital, The First Affiliated Hospital of Shenzhen University Health Science Center Shenzhen, Guangdong, China
| | - Xia Liu
- Department of Pathology, Shenzhen Second People's Hospital, The First Affiliated Hospital of Shenzhen University Health Science Center Shenzhen, Guangdong, China
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Mun JM, Kim JI, Ko TY, Park SD. Surgical Treatment of Primary Pulmonary Myopericytoma. THE KOREAN JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY 2018; 51:220-222. [PMID: 29854670 PMCID: PMC5973222 DOI: 10.5090/kjtcs.2018.51.3.220] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/25/2017] [Revised: 11/09/2017] [Accepted: 11/13/2017] [Indexed: 11/21/2022]
Abstract
Myopericytoma is a benign tumor that occurs in soft tissues. Myopericytoma in the lungs is very rare. We report the case of a 63-year-old woman presenting with cavitary masses in the left lung and multiple tiny nodules in both lungs. She underwent surgery, and a histological examination revealed primary pulmonary myopericytoma.
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Affiliation(s)
- Jeong Min Mun
- Department of Thoracic and Cardiovascular Surgery, Kosin University Gospel Hospital, Kosin University College of Medicine
| | - Jong In Kim
- Department of Thoracic and Cardiovascular Surgery, Kosin University Gospel Hospital, Kosin University College of Medicine
| | - Taek Yong Ko
- Department of Thoracic and Cardiovascular Surgery, Kosin University Gospel Hospital, Kosin University College of Medicine
| | - Sung Dal Park
- Department of Thoracic and Cardiovascular Surgery, Kosin University Gospel Hospital, Kosin University College of Medicine
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