Quoi de neuf dans la prise en charge des tumeurs fibreuses solitaires/hémangiopéricytomes des méninges ?

Lottin, Marine; Escande, Alexandre; Peyre, Matthieu; Sevestre, Henri; Maurage, Claude Alain; Chauffert, Bruno; Penel, Nicolas

doi:10.1016/j.bulcan.2020.09.011

Cited by 4 publications

(4 citation statements)

References 38 publications

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“…Mena et al ( 27 ) indicated that postoperative radiotherapy significantly improved patient survival. Certain studies have reported that chemotherapy may prolong the survival time of patients; however, additional evidence is required to confirm this hypothesis ( 28 ).…”

Section: Discussionmentioning

confidence: 99%

Solitary fibrous tumor in the saddle area treated with neuroendoscopic surgery and proton therapy: A case report and literature review

Ma,

Gong,

Tang

et al. 2023

Oncol Lett

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Solitary fibrous tumor (SFT) of the central nervous system is a rare fibroblastic tumor of mesenchymal origin. SFTs in the saddle area are much less common. In January 2022, a 43-year-old female patient was admitted with SFT 3 months following partial resection of a microscopic transsphenoidal saddle area tumor at a different hospital. Magnetic resonance imaging indicated that the unresected part of the tumor was significantly enhanced on T1 enhancement, which strongly indicated a recurrence. Subsequently, the patient underwent transnasal endoscopic saddle area tumor resection at our hospital and the tumor was successfully removed. By using postoperative pathology examination, immunohistochemical analysis of Bcl-2, cluster of differentiation 99, STAT6 and vimentin, and a fusion gene test performed by high-throughput sequencing technology, the SFT was definitively diagnosed. Following 3 months of follow-up, the patient was found to have tumor recurrence in the cavernous sinus and absence of tumor growth in the pituitary fossa. Therefore, the patient received proton therapy and tumor growth was controlled effectively.

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Section: Discussionmentioning

confidence: 99%

Solitary fibrous tumor in the saddle area treated with neuroendoscopic surgery and proton therapy: A case report and literature review

Ma,

Gong,

Tang

et al. 2023

Oncol Lett

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“…Meningeal SFT and HPC were considered different entities until 2016, but after the discovery of chromosome 12q13 inversion causing NAB2-STAT6 fusion, 2016 World Health Organization classification defined these tumors as a single entity [ 5 ]. These tumors commonly affect men in the fourth-fifth decade, with the clinical features based on the tumor location [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

“…These tumors commonly affect men in the fourth-fifth decade, with the clinical features based on the tumor location [ 6 ]. SFT/HPC tend to have more local relapses, but the distant spread is not uncommon [ 5 , 6 ].…”

Section: Discussionmentioning

confidence: 99%

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Meningeal Hemangiopericytoma Presenting as Pure Gerstmann Syndrome: A Double Rarity

Natteru

Nair

Luzardo

et al. 2021

Cureus

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Gerstmann syndrome is a neurobehavioral syndrome characterized by four cardinal symptoms: acalculia, agraphia, finger-toe agnosia, and dysgraphia. The syndrome is caused primarily by lesions at the confluence of parietal, temporal, and occipital lobes, but also can involve the middle frontal lobe of the dominant hemisphere. Documented inciting lesions include stroke, tumor, hemorrhage, arteriovenous malformations, and seizures. A meningeal solitary fibrous tumor (SFT)/hemangiopericytoma (HPC) is a diagnostic challenge due to its resemblance to more common brain tumors like meningioma, with histopathology being the definitive diagnostic test. A 37-year-old male presented to our tertiary center with blurred vision, "not being himself," and "acting funny" for three weeks. On exam, he was found to have a right inferior quadrantanopia, grade II papilledema and demonstrated all four symptoms of Gerstmann syndromeinability to perform simple calculations (acalculia), or identify his fingers (finger agnosia), could not distinguish his left side from the right (left-right disorientation), nor write out his name (agraphia). Brain imaging showed an extra-axial, highly vascularized 7.6-cm mass compressing the left parietal lobe. He underwent a complete resection of the mass. Postoperatively, he had gradual improvement with complete resolution of agraphia, acalculia, finger agnosia, and left-right disorientation within a week status postresection. Tumor pathology indicated hemangiopericytoma/solitary fibrous tumor. This case enunciates the enigmatic tetrad of Gerstmann syndrome. Though classically described as a sequela of stroke, the mass effect of the tumor on the parietal lobe may produce the symptoms, which can resolve following resection.

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Sixteen-Year Follow-Up in a Cavernous Sinus Hemangiopericytoma: Improved Outcomes over Radiotherapy Advances

Detti

Bardoscia²,

Pisani

et al. 2022

Brain Sciences

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Intracranial hemangiopericytomas are rare tumors, accounting for 1% of all central nervous system malignancies. This tumor is considered at high risk of local and also distant metastases. Surgical excision is the gold standard for treatment, but it is seldom curative by itself. Adjuvant radiotherapy is often recommended. We report an overview and update of the available literature on one such rare but aggressive mesenchymal tumor, using the case of a 46-year-old woman affected by hemangiopericytoma of the cavernous sinus surgically removed and treated with adjuvant radiotherapy at our institution. After seven years, the patient underwent a local recurrence and was treated with exeresis and Gamma Knife radiotherapy. Sixteen years after the initial diagnosis, she is still well with stable disease.

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Quoi de neuf dans la prise en charge des tumeurs fibreuses solitaires/hémangiopéricytomes des méninges ?

Cited by 4 publications

References 38 publications

Solitary fibrous tumor in the saddle area treated with neuroendoscopic surgery and proton therapy: A case report and literature review

Solitary fibrous tumor in the saddle area treated with neuroendoscopic surgery and proton therapy: A case report and literature review

Meningeal Hemangiopericytoma Presenting as Pure Gerstmann Syndrome: A Double Rarity

Sixteen-Year Follow-Up in a Cavernous Sinus Hemangiopericytoma: Improved Outcomes over Radiotherapy Advances

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