Intracranial Multiple Sites Recurrence and Extracranial Multiple Organs Metastasis of Intracranial Hemangiopericytoma

Abstract

Journal of Anesthesia and SurgeryJ Anesth Surg | volume 4 : issue 2 IntroductionIntracranial hemangiopericytoma (HPC) is rare relatively and malignant tumor in central nervous system, accounting for only 0.5% -1%[1] of all intracranial tumors, found more in young and middle-aged men than in women. The best treatment of tumor usually is microsurgical. The tumor has higher local recurrence rate and can metastasize to extracranial organs. We report the case of HPC with intracranial multiple sites recurrence or metastasis and extracranial multiple organs metastasis including bilateral lungs, liver, bilateral kidneys, costal bone, spine, centrums, pancreas and pelvic cavity 5 years after the intracranial tumor was surgically excised. The patient received cerebral, spinal and renal surgery, multiple radiotherapy, chemotherapy and biotherapy, was followed up more than 8 years from the first operation to dead at last. To our knowledge this was Copyrights: © 2017 Qian, R.J. This is an Open access article distributed under the terms of Creative Commons Attribution 4.0 International License. Case Report Open AccessDepartment of Neurosurgery, Henan Provincial People's Hospital and the People's Hospital of Zhengzhou University, Zhengzhou, 450003, P. R. China AbstractPurpose: As a rare and vascularized tumor, Intracranial hemangiopericytoma (HPC) has the significant clinical characters of local recurrence and distant metastasis including intracranial and extracrainal. The treatment of primary and metastatic tumor is still a challenging. Methods and Results:A case of intrancranical HPC was presented with Intracranial multiple sites recurrence or metastasis and Extracranial multiple organs metastasis including bilateral lungs, liver, bilateral kidneys, costal bone, spine, centrums, pancreas and pelvic cavity in a 32-year-old male, which received multiple surgery and radiation therapy, chemotherapy and biotherapy, and died 8years after followed up. Conclusions:The most important treatment for intracranial HPC is to excise tumor completely as possible as and following radiation therapy. Especially, to intra and extra cranial multiple metastasis, Gamma knife and Cyber knife may be the affected way besides of reoperation.