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Xu M, Chen M, Hua H, Yin J, Yan S. The Natural History of Parapharyngeal Solitary Fibrous Tumor/Hemangiopericytoma: A Case Report. EAR, NOSE & THROAT JOURNAL 2023; 102:NP76-NP81. [PMID: 33530739 DOI: 10.1177/0145561321991338] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2023] Open
Abstract
Solitary fibrous tumor/hemangiopericytoma (SFT/HPC) is extremely rare, and most of them are immediately treated for radical resection. However, the information concerning its natural history remains unclear. In this report, we presented a patient with parapharyngeal SFT/HPC, who was not immediately treated with surgical resection at first diagnosis. After approximately 3 years, the tumor volume doubling time (TVDT) and specific growth rate (SGR) could be measured through 3 serial magnetic resonance imagings. The TVDTs in the early and late pretreatment stages were 350 and 180 days, respectively, while the SGRs were 0.002 and 0.003, respectively. The growth rate of this disease entity is generally slow and may accelerate in the disease process.
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Affiliation(s)
- Mengyou Xu
- Department of Radiation Oncology, The First Affiliated Hospital Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, People's Republic of China
| | - Meiqin Chen
- Department of Radiation Oncology, Affiliated Jinhua Hospital, Zhejiang University School of Medicine, Jinhua, Zhejiang Province, People's Republic of China
| | - Hongzhong Hua
- Department of Pathology, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, People's Republic of China
| | - Jie Yin
- Department of Radiation Oncology, The First Affiliated Hospital Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, People's Republic of China
| | - Senxiang Yan
- Department of Radiation Oncology, The First Affiliated Hospital Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, People's Republic of China
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Amorim Filho FS, Gripp FM, Faria GS, Capuzzo Gonçalves M, Miyahira L. Hemangiopericytoma: Conducts and perioperative management of an extent sinonasal tumor in a Jehovah's Witnesses patient - Case report. Cancer Rep (Hoboken) 2022; 5:e1609. [PMID: 35194976 PMCID: PMC9458489 DOI: 10.1002/cnr2.1609] [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: 07/25/2021] [Revised: 01/02/2022] [Accepted: 01/21/2022] [Indexed: 11/16/2022] Open
Abstract
Background Hemangiopericytomas (HPCs) are rare tumors derived from mesenchymal cells with pericyte differentiation. About 5% of head and neck HPCs occur in the nasal cavity and paranasal sinuses. Due to its rarity, rich vascularity and variable biological behavior, its management is a challenge in itself. Case We report a case of sinonasal HPC in a Jehovah's Witness patient and discuss the obstacles and care related to the restrictions and therapeutic challenges involved in the approach to the patient. The patient was successfully treated by endoscopic endonasal approach with all per‐operative care and restrictions being respected and attended. Conclusions The management of HPC by itself involves challenges and when associated with other restrictive conditions attention and care are required.
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Affiliation(s)
- Francisco S Amorim Filho
- Head and Neck Surgery and Otorhinolaryngology Service, Instituto da Tireoide e Laringe, Goiânia, Brazil.,Department of Otorhinolaryngology and Head and Neck Surgery, Hospital das Clínicas de Goiânia (HC-UFG), Goiânia, Brazil
| | - Flávio M Gripp
- Department of Otorhinolaryngology and Head and Neck Surgery, University of Campinas (UNICAMP), Campinas, Brazil
| | - Guilherme S Faria
- Head and Neck Surgery and Otorhinolaryngology Service, Instituto da Tireoide e Laringe, Goiânia, Brazil
| | - Mateus Capuzzo Gonçalves
- Department of Otorhinolaryngology and Head and Neck Surgery, Hospital das Clínicas de Goiânia (HC-UFG), Goiânia, Brazil
| | - Lincoln Miyahira
- Head and Neck Surgery and Otorhinolaryngology Service, Instituto da Tireoide e Laringe, Goiânia, Brazil
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Rahpeyma A, Khajehahmadi S. Parapharyngeal Hemangiopericytoma: the Role for Mandibular Proximal Segment Replantation-Review of Literature. Indian J Surg Oncol 2019; 10:708-712. [PMID: 31857770 DOI: 10.1007/s13193-019-00975-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2019] [Accepted: 08/07/2019] [Indexed: 12/01/2022] Open
Abstract
Pharyngeal hemangiopericytoma is a rare tumor .Surgical access to space has been selected based on the location of the tumor in this space, size, and type of pathology. Hemangiopericytoma requires extracapsular dissection. Hemorrhagic nature and tight attachment to adjacent tissues are the other reasons for choosing the surgical approach with the best access. The patient was a 55-year-old female with left-sided facial swelling and dumbbell-shaped lesion involving buccal and lateral pharyngeal space. Brisk hemorrhage happened during biopsy. Submandibular incision, osteotomy of mandibular angle, and temporary proximal segment removal were done. Extracapsular dissection of the lesion performed under direct vision. Proximal segment was returned to the original location and internally fixed with miniplate. Postoperative course was without complication. Mandibular proximal segment replantation technique should be used to treat parapharyngeal tumors with a hemorrhagic tendency.
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Affiliation(s)
- Amin Rahpeyma
- 1Oral & Maxillofacial Diseases Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.,2Department of Oral and Maxillofacial Surgery, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Saeedeh Khajehahmadi
- 3Dental Research Center, Mashhad University of Medical Sciences, Vakilabad Blvd, Mashhad, Iran.,4Department of Oral and Maxillofacial Pathology,School of Dentistry, Mashhad University of Medical Sciences, Vakilabad Blvd, Mashhad, Iran
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Mishra S, Mohanty N, Routray S, Misra S. Haemangiopericytoma/Solitary Fibrous Tumour of Mandible: An Uncommonness in the Oral Cavity. J Maxillofac Oral Surg 2019; 20:42-46. [PMID: 33584040 DOI: 10.1007/s12663-019-01263-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2019] [Accepted: 07/22/2019] [Indexed: 10/26/2022] Open
Abstract
Among the bewildering variety of neoplasms occurring in the head and neck region, few are unique to the oral cavity which are quite challenging to diagnose. Due to the rarity of these tumours, it is the practicing oral pathologists' accountability to confirm some of these neoplasms with or without special investigative modalities to rule out the differential diagnosis histopathologically. One in the group of such tumour prevails haemangiopericytoma aka. solitary fibrous tumour (HPC/SFT). The management of these tumours is purely histopathologically driven, since the surgical procedure is dependent on the histological diagnosis. This neoplasm is histologically very difficult to confirm as benign or malignant without the use of immunohistochemical markers. We report such a rare case of a 54-year-old female patient, histopathologically confirmed diagnosis of HPC/SFT with CD34 positivity for documentation in the literature.
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Affiliation(s)
- Sobhan Mishra
- Department of Oral and Maxillofacial Surgery, Institute of Dental Sciences, Siksha O Anusandhan (Deemed to be University), Sector-8, Kalinga Nagar, Ghatikia, Bhubaneswar, Odisha 751003 India
| | - Neeta Mohanty
- Department of Oral Pathology and Microbiology, Institute of Dental Sciences, Siksha O Anusandhan (Deemed to be University), Sector-8, Kalinga Nagar, Ghatikia, Bhubaneswar, Odisha 751003 India
| | - Samapika Routray
- All India Institute of Medical Sciences, Bhubaneswar, Odisha 751019 India
| | - Satyaranjan Misra
- Department of Oral Medicine and Radiology, Institute of Dental Sciences, Siksha O Anusandhan (Deemed to be University), Sector-8, Kalinga Nagar, Ghatikia, Bhubaneswar, Odisha 751003 India
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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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Hall J. Hypervascular Soft Tissue Tumor of the Skull Suspicious for Hemangiopericytoma. JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY 2015. [DOI: 10.1177/8756479315606772] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
Hemangiopericytoma (HPC) is a rare mesenchymal tumor that is predominantly found in the pelvis, retroperitoneum, and lower extremities, occasionally occurring in the larynx, spleen, bones of the thorax, or the meninges. A case is presented of a hypervascular soft tissue mass of the skull suggesting a diagnosis of hemangiopericytoma. Imaging modalities including computed tomography and sonography were used to help characterize this soft tissue lesion of the skull to aid in the proper course of diagnosis and treatment. The characteristics of hemangiopericytoma are described, and note is made that because of the vascular nature of these lesions, surgical intervention is used as a final resort when there are multiple reoccurrences following radiation therapy.
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Shaigany K, Fang CH, Patel TD, Park RC, Baredes S, Eloy JA. A population-based analysis of Head and Neck hemangiopericytoma. Laryngoscope 2015; 126:643-50. [DOI: 10.1002/lary.25681] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2015] [Revised: 08/03/2015] [Accepted: 08/24/2015] [Indexed: 12/18/2022]
Affiliation(s)
| | | | | | | | - Soly Baredes
- Center for Skull Base and Pituitary Surgery, Neurological Institute of New Jersey
| | - Jean Anderson Eloy
- Department of Otolaryngology-Head and Neck Surgery
- Center for Skull Base and Pituitary Surgery, Neurological Institute of New Jersey
- Department of Neurological Surgery
- Department of Ophthalmology and Visual Science; Rutgers New Jersey Medical School; Newark New Jersey U.S.A
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Wushou A, Miao XC, Shao ZM. Treatment outcome and prognostic factors of head and neck hemangiopericytoma: meta-analysis. Head Neck 2015; 37:1685-90. [PMID: 24954602 DOI: 10.1002/hed.23812] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/18/2014] [Indexed: 12/13/2022] Open
Abstract
BACKGROUND Head and neck hemangiopericytoma (HNHPC) is rare. Treatment outcome and specific prognostic factors were unexplored. METHODS A case meta-analysis, in which treatment and outcome data were available, was performed. RESULTS A total of 116 primary HNHPC cases were analyzed. Poor pathologic differentiation was associated with increased risk of tumor recurrence (odds ratio [OR] = 2.378; p = .005), metastasis (OR = 3.634; p = .011), and mortality (OR = 4.563; p = .002), whereas surgery was associated with decreased risk of tumor recurrence (OR = 0.109; p = .004). The tumor size >5.0 cm in diameter (hazard ratio [HR] = 6.391; p = .002), nonsurgical treatment (HR = 7.648; p = .000), and poor pathologic differentiation (HR = 1.705; p = .012) were the independent unfavorable prognostic factors for disease-free survival. Moreover, nonsurgical treatment (HR = 8.097; p = .002) and deep tumor location (HR = 4.074; p = .013) were independent adverse prognostic factors for overall survival (OS). CONCLUSION These results suggest a management emphasizing the surgical removal of the tumor as first-line treatment. Tumor size >5.0 cm, poor pathologic differentiation, deep tumor location, and nonsurgical treatment were independent adverse prognostic factors.
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Affiliation(s)
- Alimujiang Wushou
- Cancer Research Institute, Fudan University Shanghai Cancer Center, Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China
| | - Xin-Chao Miao
- Department of Oral and Maxillofacial Surgery, Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Zhi-Min Shao
- Cancer Research Institute, Fudan University Shanghai Cancer Center, Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China
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Shobha BV, Shivakumar BN, Reddy S, Dutta N. Sinonasal hemangiopericytoma: A rare case report with review of literature. J Oral Maxillofac Pathol 2015; 19:107. [PMID: 26097321 PMCID: PMC4451651 DOI: 10.4103/0973-029x.157214] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2014] [Accepted: 03/19/2015] [Indexed: 11/09/2022] Open
Abstract
Hemangiopericytoma (HPC) is a rare tumor of uncertain malignant potential. Stout and Murray described HPC as "vascular tumor arising from Zimmerman's pericyte" in 1942. The World Health Organization (WHO) reclassified HPC as a fibroblastic/myofibroblastic tumor, after further characterization. HPC is found mostly wherever there is increased vascularity seen. The incidence of the tumor in head and neck area is only 15%, mostly seen in adults. We report here a case of HPC of a 22-year-old female, who presented to our department with a tender swelling in maxillary anterior region and the mass was well-circumscribed, sessile and soft on palpation. The skin over the tumor was intact and normal. The tumor was completely removed with wide surgical resection. The histopathological staining supported the diagnosis of HPC, this was further confirmed by immunohistochemistry (IHC) in which CD99 showed strong positivity.
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Affiliation(s)
- BV Shobha
- Department of Oral and Maxillofacial Pathology, Maitri College of Dentistry and Research Centre, Anjora, Durg, Chhattisgarh, India
| | - BN Shivakumar
- Department of Oral and Maxillofacial Pathology, Maitri College of Dentistry and Research Centre, Anjora, Durg, Chhattisgarh, India
| | - Santhosh Reddy
- Department of Oral and Maxillofacial Pathology, Maitri College of Dentistry and Research Centre, Anjora, Durg, Chhattisgarh, India
| | - Neerav Dutta
- Department of Oral and Maxillofacial Pathology, Maitri College of Dentistry and Research Centre, Anjora, Durg, Chhattisgarh, India
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