Laparoscopic resection of intra-abdominal metastasis from intracranial hemangiopericytoma

Nickerson, Terry P.; Fahy, Aodhnait S.; Bingener, Juliane

doi:10.1016/j.ijscr.2015.07.024

Cited by 8 publications

(3 citation statements)

References 13 publications

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“…[ 12 ]. Laparoscopic surgery including laparoscopic observation is very useful when a definite diagnosis cannot be made through imaging alone [ 3 , 4 , 11 , 13 ].…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic left hepatectomy for a patient with intrahepatic cholangiocarcinoma metastasis in the falciform ligament: a case report

et al. 2021

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Background Intrahepatic cholangiocarcinoma (ICC) is primary cancer of the liver with poor prognosis because of its high potential for recurrence and metastasis. We experienced a rare case of ICC with hematogenous metastasis to the falciform ligament. We aimed to clarify the route of metastasis to the mesentery by increasing the accuracy of preoperative imaging and establish a hepatectomy to control cancer. Case presentation An 85-year-old woman was referred to our hospital for a detailed study of progressively increasing liver tumors. She had no subjective symptoms. Her medical history showed hypertension, aneurysm clipping for cerebral hemorrhage, and gallstones. A detailed physical examination and laboratory data evaluation included tumor markers but did not demonstrate any abnormalities. On computed tomography scan, contrast-enhanced ultrasound, and magnetic resonance imaging with gadolinium ethoxybenzyl diethylenetriamine penta-acetic acid, the tumor appeared to be located in liver segment IV, protruding outside the liver. It appeared to contain two distinct components; we suspected ICC in the intrahepatic tumor component. Laparoscopic observation revealed that the extrahepatic lesion was an intra-falciform ligament mass; laparoscopic left hepatectomy was performed. Microscopically, the main tumor in segment IV was 15 mm in diameter and was diagnosed as moderately and poorly differentiated ICC. The tumor of the intra-falciform ligament was not continuous with the main intrahepatic nodule and was also diagnosed as ICC with extensive necrosis. There were no infiltrates in the round ligament of the liver, and several tumor thrombi were found in the small veins of the falciform ligament. Conclusions To date, there have been a few reports of metastases of primary liver cancer to the falciform ligament. At the time of preoperative imaging and pathological diagnosis, this case was suggestive of considering that the malignant liver tumor might be suspected of metastasizing to the falciform ligament. Our case improves awareness of this pathology, which can be useful in the future when encountered by hepatic specialists and surgeons.

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“…[ 12 ]. Laparoscopic surgery including laparoscopic observation is very useful when a definite diagnosis cannot be made through imaging alone [ 3 , 4 , 11 , 13 ].…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic left hepatectomy for a patient with intrahepatic cholangiocarcinoma metastasis in the falciform ligament: a case report

et al. 2021

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“…The patients (6 males and 7 females, 1 unknown) had an average age of 55 ± 10.3 years, and the shortest follow-up time was 4 mo. Of these 14 cases, 10 were recorded as HPC, which is a tumor of Zimmermann’s pericyte in capillary walls and post capillary venule walls[ 18 ]; it was confirmed as one of the SFTs in 2002, since HPCs do not encompass the origins of all HPC-like tumors[ 19 ]. Compared with other reported malignant omental SFT cases, our case is unique.…”

Section: Discussionmentioning

confidence: 99%

Malignant solitary fibrous tumor of the greater omentum: A case report and review of literature

Guo¹,

Yao²,

Zhong³

et al. 2021

WJCC

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“…Damodaran 14 CT body imaging every 6-12 months is utilized by others. 23,24 Purandare reports using PET/CT for follow-up. 25 At our center, routine follow-up for SFT/HPC patients after resection includes cranio-spinal MRI every 3 months following initial resection.…”

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confidence: 99%

Intracranial Solitary Fibrous Tumor/Hemangiopericytoma Treated with Microsurgical Resection: Retrospective Cohort Analysis of a Single-Center Experience

Swaminathan¹,

Ruzevick²,

Venur³

et al. 2022

TCRM

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To provide benchmarks for further studies of solitary fibrous tumor/hemangiopericytoma (SFT/HPC) of the central nervous system (CNS), we investigated the association of baseline demographic, clinico-pathologic, and treatment factors with outcomes in those treated at our center. Methods: We conducted a retrospective, cohort analysis of patients treated for SFT/HPC at the University of Washington 1990-2020. Kaplan-Meier and univariable Cox analyses assessed relationships between baseline variables and local or global CNS recurrence, extraneural recurrence, progression-free survival (PFS) and overall survival (OS). Results: Among 34 eligible patients, median duration of follow-up was 79 months (range 13-318 months). Local and global CNS recurrence occurred at a median of 81 m (95% CI 48-151) and 81 m (95% CI 47-112), respectively. Extraneural metastases occurred at a median 248 m (95% CI 180-Not Reached) and only in grade 3 tumors. Median PFS and OS were 76 months (95% CI: 47-109 months) and 210 months (95% CI 131-306 months), respectively. Univariable Cox analyses showed that age at diagnosis was associated with local (p = 0.01) and global CNS relapse (p = 0.01), and PFS (p = 0.03). Gross total resection was associated with decreased local or global CNS relapse (p = 0.02) and improved PFS (p = 0.03); peri-operative radiation was associated with decreased local CNS relapse (p = 0.02). Conclusion: Following microsurgical resection of SFT/HPC, CNS relapse is common and associated with age, extent of resection, and adjuvant radiation. Extraneural relapse occurs in some patients. Delayed time-to-initial relapse justifies prolonged surveillance, but optimal approaches have not been defined.

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Laparoscopic resection of intra-abdominal metastasis from intracranial hemangiopericytoma

Abstract: HighlightsHemangiopericytoma can present with abdominal metastases manifested by abdominal pain and subacute obstruction.Laparoscopic resection is a feasible treatment strategy for intraperitoneal metastases from hemangiopericytoma.

Cited by 8 publications

References 13 publications

Laparoscopic left hepatectomy for a patient with intrahepatic cholangiocarcinoma metastasis in the falciform ligament: a case report

Laparoscopic left hepatectomy for a patient with intrahepatic cholangiocarcinoma metastasis in the falciform ligament: a case report

Malignant solitary fibrous tumor of the greater omentum: A case report and review of literature

Intracranial Solitary Fibrous Tumor/Hemangiopericytoma Treated with Microsurgical Resection: Retrospective Cohort Analysis of a Single-Center Experience

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