Hemangiopericytoma of cervicothoracic spine: a case report and literature review.

Abstract

A case of hemangiopericytoma in the cervicothoracic spine is reported. A 43-year-old man was admitted to our hospital with pain in the scapular region radiating to the left upper extremity, numbness, and weakness of the legs. Magnetic resonance image revealed an intraspinal, extradural mass at the level of the C6-T2 vertebral bodies. The lesion also involved the dorsal paraspinal area with a giant mass. A total resection of the tumor was performed and histopathological findings revealed a malignant hemangiopericytoma. The patient showed rapid neurological function improvement after surgery. It is well-recognized that hemangiopericytoma is an aggressive tumor with a high risk of recurrence and propensity to metastasize. The tumor is rarely found in the central nervous system, and only a few reports could be found in the literature. We present a case of cericothoracic spinal hemangiopericytoma with an intensive review of the literature. KEywoRds: Hemangiopericytoma, Cervicothoracic spine, Extradural tumor, Total resection ÖZServikotorasik omurgada bir hemanjiyoperisitom olgusu sunulmaktadır. 43 yaşında bir erkek hastanemize skapüler bölgede oluşan ve sol üst ekstremiteye yayılan ağrı, uyuşukluk ve bacaklarda kuvvetsizlik ile geldi. Manyetik rezonans görüntüleme C6-T2 vertebral cisimler seviyesinde bir intraspinal, ekstradural kitle ortaya çıkardı. Lezyon ayrıca dev bir kitleyle dorsal paraspinal bölgeyi tutuyordu. Tümörün total rezeksiyonu yapıldı ve histopatolojik bulgular bir malign hemanjiyoperisitom gösterdi. Hasta cerrahiden sonra nörolojik olarak hızla iyileşti. Hemanjiyoperisitomun yüksek nüks riski ve metastaz eğilimi olan agresif bir tümör olduğu bilinmektedir. Tümör, merkez sinir sisteminde nadiren bulunur ve literatürde sadece birkaç olgu saptanmıştır. Literatürün kapsamlı bir gözden geçirilmesiyle bir servikotorasik spinal hemanjiyoperisitom olgusu sunuyoruz.

Surgical management of spinal solitary fibrous tumor/hemangiopericytoma: a case series of 20 patients

“…Surgery with the aim of preserving functionality, relieving pain, controlling local recurrence and promising a prolonged survival is the foundational treatment strategy for osseous SFT/HPCs in the spine [4,5,7]. Because SFT/ HPCs, especially grade III, have the character of local infiltration, the local recurrence rate will be high if surgery is inadequate [4,8,10].…”

“…Because SFT/ HPCs, especially grade III, have the character of local infiltration, the local recurrence rate will be high if surgery is inadequate [4,8,10]. The surgical procedures applicable to the spinal column include the simplest subtotal resection, piecemeal total spondylectomy, and the most complex TES [17,[24][25][26].…”

“…SFT/ HPC, a rare aggressive neoplasm of mesenchymal origin, comprises only 0.08% of all primary bone tumors and 0.1% of primary malignant bone tumors [2], and rarely affects the spine [3][4][5]. To date, only about 90 cases have been reported and most of them are intradural-extramedullary tumors [6,hinders total en bloc spondylectomy (TES) treatment which may lead to higher recurrence and lower overall survival.…”

A Rare Case of a Thoracic Spinal Hemangiopericytoma

“…This haemorrhagic risk is thought to be responsible for high mortality and morbidity. Preoperative tumor endovascular embolization has been shown to be effective in reducing bleeding during the surgery and facilitating tumor resection [11]. In our case, the tumor could not be resected completely because of the capsular residue adhering to the spinal cord.…”

F18‑fluorodeoxyglucose positron emission tomography/computed tomography for bone hemangiopericytoma

“…In the radiology literature, there are only case reports or small case series reports of bone HPC (7)(8)(9)(10)(11)(12)(13). Although most of bone HPC demonstrate as destructive or lytic lesions (7)(8)(9)(10)(11)(12)(13), radiographic findings are non-specific as well (14).…”