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Hemangiopericytoma of thoracic spine: a rare bony tumor

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Abstract

Case report

We report the case of a 16-year-old girl who developed hemangiopericytoma of the thoracic spine; the main clinical symptoms were of spastic paraparesis with sensory involvement and uro-fecal incontinence. She was initially put on antitubercular treatment keeping in mind the endemicity of tuberculosis in the region. When she deteriorated on conservative management, she was operated upon, and the histopathological report was suggestive of hemangiopericytoma.

Materials and methods

Additional immunocytochemistry was performed in the paraffin-embedded tumor sections.

Conclusions

An extremely rare case of primary epidural malignant hemangiopericytoma of the thoracic spinal column is described. It is a rare tumor, which is locally aggressive, and a potentially malignant tumor. The tumor is more commonly found in the cranium, and spinal involvement is rare, and only few case reports could be retrieved from the literature. We discuss the clinical profile, management, and outcome of spinal hemangiopericytomas along with pertinent review of the literature.

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References

  1. Baglio CM, Crowson CN et al (1964) Hemangiopericytoma of Urachus: report of a case. J Urot 91:660–662

    CAS  Google Scholar 

  2. Bastin KT, Mehta MP (1992) Meningeal hemangiopericytoma: defining the role for radiation therapy. J Neurooncol 14:277–287

    Article  PubMed  CAS  Google Scholar 

  3. Blenkinsopp WK, Hobe JT (1966) Pedunculated hemangiopericytoma attached to the thoracic aorta. Thorax 21:193–196

    PubMed  CAS  Google Scholar 

  4. Borg MF, Benjamin CS (1995) Haemangiopericytoma of the central nervous system. Australas Radiol 39:36–41

    PubMed  CAS  Google Scholar 

  5. Brockunier A, Brun-Schwig A (1964) Pelvic hemangiopericytoma. Review of the literature and report of a case treated by posterior exenteration. Obstet Gynecol N Y 24:402–410

    Google Scholar 

  6. Brown DN (1962) Intracranial hemangiopericytoma—a clinical and pathologic study. (Thesis) Graduate School, University of Minnesota

  7. Brunori A, Delitala A, Oddi G, Chiappetta F (1997) Recent experience in the management of meningeal hemangiopericytomas. Tumori 83:856–860

    PubMed  CAS  Google Scholar 

  8. Ciappetta P, Celli P, Palma L, Mariottini A (1985) Intraspinal hemangiopericytomas. Report of two cases and review of the literature. Spine 10:27–31

    Article  PubMed  CAS  Google Scholar 

  9. Coffey RJ, Cascino TL, Shaw EG (1993). Radiosurgical treatment of recurrent hemangiopericytomas of the meninges: preliminary results. J Neurosurg 78:903–908

    PubMed  CAS  Google Scholar 

  10. Das AK, Gans BJ (1965) Hemangiopericytoma of the oral cavity. Review of the literature and report of a case. J Oral Surg 23:456–460

    PubMed  CAS  Google Scholar 

  11. Douglas JL, Mitchell R, Short DW (1966) Retroperitoneal hemangiopericytoma. Br J Surg 53:31–33

    Article  PubMed  CAS  Google Scholar 

  12. Enzinger FM, Smith BH (1976) Hemangiopericytoma. An analysis of 106 cases. Hum Pathol 7:61–82

    Article  PubMed  CAS  Google Scholar 

  13. Ernst CB, Adfll MR, Kahn DR (1965) Malignant hemangiopericytoma of the stomach. Surgery St Louis 58:351–356

    CAS  Google Scholar 

  14. Espat NJ, Lewis JJ, Leung D et al (2002) Conventional hemangiopericytoma: modern analysis of outcome. Cancer 95(8):1746–1751

    Article  PubMed  Google Scholar 

  15. Farrow GM, Harrison EG Jr, Utz DC, ReMine WH (1968) Sarcomas and sarcomatoid and mixed malignant tumors of the kidney in adults. Part 1. Cancer 22:545–550

    Article  PubMed  CAS  Google Scholar 

  16. Feldman F, Seaman WB (1964) Primary thoracic hemangiopericytoma. Radiology 82:998–1008

    PubMed  CAS  Google Scholar 

  17. Fisher JH (1960) Hemangiopericytoma: a review of 20 cases. Can Med Ass J 83:1136–1139

    PubMed  CAS  Google Scholar 

  18. Fuste FJ (1968) Primary hemangiopericytoma of the orbit. J Tenn Med Assoc 61:1003–1004

    PubMed  CAS  Google Scholar 

  19. Galanis E, Buckner JC, Scheithauer BW, Kimmel DW, Schomberg PJ, Piepgras DG (1998) Management of recurrent meningeal hemangiopericytoma. Cancer 82:1915–1920

    Article  PubMed  CAS  Google Scholar 

  20. Goldberger RE, Schein CJ (1968) Hemangiopericytoma of the omentum: report of a case with a unique presentation and review of literature. Am Surg 34:291–295

    PubMed  CAS  Google Scholar 

  21. Guthrie BL, Ebersold MJ, Scheithauer BW, Shaw EG (1989) Meningeal hemangiopericytomas: histopathological features, treatment and long-term follow-up of 44 cases. Neurosurgery 25:514–522

    Article  PubMed  CAS  Google Scholar 

  22. Hogle WP (2003) Malignant hemangiopericytoma: a clinical overview and case study. Clin J Oncol Nurs 7(1):57–62

    Article  PubMed  Google Scholar 

  23. Ijiri K, Yuasa S, Yone K et al (2002) Primary epidural hemangiopericytoma in the lumbar spine: a case report. Spine 27(7):E189–E192

    Article  PubMed  Google Scholar 

  24. Jaaskelainen J, Servo A, Haltia M, Wahlstrom T, Valtonen S (1985) Intracranial hemangio-pericytoma: radiology, surgery, radiotherapy and outcome in 21 patients. Surg Neurol 23:227–236

    Article  PubMed  CAS  Google Scholar 

  25. Jha N, McNeese M, Barkley H, Kong J (1987) Does radiotherapy have a role in hemangio-pericytoma management? Report on 14 new cases and a review of the literature. Int J Radiat Oncol Biol Phys 3:1399–1402

    Google Scholar 

  26. Lenczyk JM (1968) Nasal hemangiopericytoma. Arch Otolaryngol 87:536–539

    PubMed  CAS  Google Scholar 

  27. Lieras H, Vauzflle JL, Guelpa G, Nerdhardt JH, Tairraz JP (1965) Hemangiopericytoma of cystic form of uterus. Diagnostic and therapeutic problems. Lyon Chir 61:863

    Google Scholar 

  28. Lin Y-J, Tu Y-K, Lin S-M, Shun C-T(1996) Primary hemangiopericytoma in the axis bone: case report and review of literature. Neurosurgery 39(2):397–400

    Article  PubMed  CAS  Google Scholar 

  29. MacCarty CS, Brown DN (1964) Orbital tumors in children. Clin Neurosurg 11:76–93

    PubMed  CAS  Google Scholar 

  30. Someya M, Sakata KI, Oouchi A, Nagakura H, Satoh M, Hareyama M (2001) Four cases of meningeal hemangiopericytoma treated with surgery and radiotherapy. Jpn J Clin Oncol 31:548–552

    Article  PubMed  CAS  Google Scholar 

  31. McMaster MJ, Soule EH, Ivins JC (1975) Hemangiopericytoma. A clinicopathologic study and long-term follow-up of 60 patients. Cancer 36(6):2232–2244

    Article  PubMed  CAS  Google Scholar 

  32. Mira JG, Chu FC, Fortner JG (1977) The role of radiotherapy in the management of malignant hemangiopericytoma. Cancer 39:1254–1259

    Article  PubMed  CAS  Google Scholar 

  33. Mohammadianpanah M, Torabinejad S, Bagheri MH, Omidvari S, Mosalaei A, Ahmadloo N (2004) Primary epidural malignant hemangiopericytoma of thoracic spinal column causing cord compression: case report. Sao Paulo Med J 122(5):220–222

    Article  PubMed  Google Scholar 

  34. Nonaka M, Kohmura E, Hirata M, Hayakawa T (1998) Metastatic meningeal hemangiopericytoma of thoracic spine. Clin Neurol Neurosurg 100:228–230

    Article  PubMed  CAS  Google Scholar 

  35. Nunnery EW, Kahn LB, Reddick RL, Lipper S (1981) Hemangiopericytoma: a light microscopic and ultrastructural study. Cancer 47:906–914

    Article  PubMed  CAS  Google Scholar 

  36. O’beuen P, Brasfield RD (1965) Hemangiopericytoma. A follow up study. Cancer N Y 18:249–252

    Google Scholar 

  37. Palkovic S (1987) Multiple recurrence of an intracranial hemangiopericytoma. Neurosurg Rev 10:233–236

    Article  PubMed  CAS  Google Scholar 

  38. Payne BR, Prasad D, Steiner M, Steiner L (2000) Gamma surgery for hemangiopericytomas. Acta Neurochir 142:527–537

    Article  CAS  Google Scholar 

  39. Perez CA, Chao KS (1998) Unusual nonepithelial tumors of the head and neck. In: Perez CA, Brady LW (eds) Principles and practice of radiation oncology, 3rd edn. Lippincott-Raven, Philadelphia, pp 1095–1134

    Google Scholar 

  40. Sakata K, Aoki Y, Tago M, Karasawa K, Nakagawa K, Hasegawa K (1998) Radiotherapy of bone metastases of a spinal meningeal hemangiopericytoma. Strahlenther Onkol 174:217–219

    Article  PubMed  CAS  Google Scholar 

  41. Salvati M, Ciappetta P, Artico M, Raco A, Aldo F (1991) Intraspinal hemangioma: case report and review of the literature. Neurosurg Rev 14:309–313

    Article  PubMed  CAS  Google Scholar 

  42. Scott M, Kellett G, Peale A (1974) Angioblastic meningioma (hemangiopericytoma) of the cerebellar fossa with metastases to the temporal bone and the lumbar spine. Surg Neurol 2:35–38

    PubMed  CAS  Google Scholar 

  43. Sellke FW, Laszewski MJ, Robinson RA, Davis R, Rossi NP (1991) Hemangiopericytoma of the sternum. Arch Pathol Lab Med 115:242–244

    PubMed  CAS  Google Scholar 

  44. Shklar G, Meyer I (1965) Vascular tumors of the mouth and jaw. Oral Surg 19:335–358

    Article  PubMed  CAS  Google Scholar 

  45. Simon R, Greene RC (1964) Perirenal hemangiopericytoma. A case associated with hypoglycaemia. J Am Med Assoc 189(21):155–156

    CAS  Google Scholar 

  46. Staples JJ, Robinson RA, Wen BC, Hussey DH (1990) Hemangiopericytoma—the role of radiotherapy. Int J Radiat Oncol Biol Phys 19:445–451

    PubMed  CAS  Google Scholar 

  47. Stout AP, Murray MR (1942) Hemangiopericytoma: a vascular tumor featuring Zimmerman’s pericytes. Ann Surg 116:26–33

    Article  PubMed  CAS  Google Scholar 

  48. Stout AP, Cassel C (1943) Hemangiopericytoma of the omentum. Surgery 13:578–581

    Google Scholar 

  49. Uemura S, Kuratsu J, Hamada J, Yoshioka S, Kochi M, Ushio Y et al (1992) Effect of radiation therapy against intracranial hemangiopericytoma. Neurol Med Chir 32:328–332

    Article  CAS  Google Scholar 

  50. Zimmermann KW (1923) Der Feinere Eau der Blutcapillaren. Z Anat Entw Gesh 68:29

    Article  Google Scholar 

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Correspondence to Raj Kumar.

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Kumar, R., Vaid, V.K., Kumar, V. et al. Hemangiopericytoma of thoracic spine: a rare bony tumor. Childs Nerv Syst 23, 1215–1219 (2007). https://doi.org/10.1007/s00381-007-0372-z

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  • DOI: https://doi.org/10.1007/s00381-007-0372-z

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