Glomangiopericytoma simulating an intracavernous meningioma

Abstract

Background:Glomangiopericytoma is an uncommonly encountered tumor of the nose and paranasal sinuses, accounting for <0.5% of all sinonasal tumors. Extension of these lesions to the anterior or middle cranial fossa is rare. When this occurs, diagnosing glomangiopericytoma is extremely challenging, as it is often confused with other anterior skull base tumors.Case Description:We report a case of a giant glomangiopericytoma localizing into the cavernous sinus in a 48-year-old female who presented with mild left-sided ptosis for 48 months. The lesion simulated an intracavernous meningioma on preoperative imaging. An expanded endoscopic endonasal approach was used to debulk the portion of the lesion in the medial compartment of the cavernous sinus. Postoperatively, the patient's ptosis resolved completely, and no new deficits were sustained.Conclusion:This is the only case of glomangiopericytoma localizing solely to the cavernous sinus reported to date.

Glomangiopericytoma Presenting as a Middle Ear Mass

“…Glomangiopericytomas (GPCs) are rare vascular tumors of the sinonasal cavity. Rarely they can present elsewhere in the parotid deep lobe, masticator/buccal space, 1 prevertebral space, 1 and cavernous sinus 2 . We share our experience with managing a multiply recurrent GPC primary tumor in the middle ear with surgery and stereotactic radiosurgery (SRS).…”