Sinonasal hemangiopericytoma: A rare case report with review of literature

Shobha, BV; Shivakumar, B; Reddy, Santhosh; Dutta, Neerav

doi:10.4103/0973-029x.157214

Cited by 16 publications

(10 citation statements)

References 13 publications

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“…The sphenoid is an extremely rare location for malignancy and renal clear cell metastasis is the most common malignancy seen, as in our one case. Additionally, lung, breast, seminoma, gastrointestinal, thyroid, malignant melanoma, and prostate cancer metastasis are seen at this location (6,(11)(12)(13)(14)(15).…”

Section: Discussionmentioning

confidence: 93%

“…While head and neck hemangiopericytomas account for 15% of the overall cases, their proportion decreases to 1% in the paranasal sinus. Pathological attitudes of increased cellularity and mitotic activity, necrosis, and hemorrhage are risk factors for recurrence and metastasis (14).…”

Section: Discussionmentioning

confidence: 99%

“…Additionally, lung, breast, seminoma, gastrointestinal, thyroid, malignant melanoma, and prostate cancer metastasis are seen at this location (6,(11)(12)(13)(14)(15).…”

Section: Discussionmentioning

confidence: 99%

“…Pathological attitudes of increased cellularity and mitotic activity, necrosis, and hemorrhage are risk factors for recurrence and metastasis (14).…”

Section: Discussionmentioning

confidence: 99%

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Isolated sphenoid sinus pathologies: a series of 40 cases*

Eravcı¹,

Ceylan²,

Göcek³

et al. 2017

Turk J Med Sci

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IntroductionSphenoid sinus-derived lesions constitute 1% to 2% of paranasal pathologies having nonspecific symptoms (1). The sphenoid sinus is a sealed location at the center of the cranium and close to vital structures. In spite of this, pathologies present with vague symptoms. It is also not easily evaluated by otorhinolaryngology (ORL) examination. For these reasons, and because of the rarity of the pathologies, diagnoses are delayed (2). Generally, a diagnosis is made when there is suspicion from clinical findings and following imaging studies. However, in recent years, detection is more frequent because of the increased use of radiological imaging.The sphenoid is an area surrounded by important structures: superiorly the pituitary gland, middle cranial fossa, and optic nerve are located; the cavernous sinus is positioned laterally, which involves the carotid artery, and within it cranial nerves 3, 4, and 6 and two branches of 5. Anteriorly the pterygoid canal and nasopharynx are seen, and posteriorly the cranial fossa (3,4).With isolated sphenoid pathologies, the most common symptom is headache, followed by nasal obstruction, postnasal drip, visual problems, cranial nerve deficits, and recurrent meningitis (1-4). In contrast to other sphenoid pathologies, cerebrospinal fluid (CSF) leak patients almost always present with unilateral serous rhinorrhea and rarely with recurrent meningitis attack. The sphenoid sinus, along with the ethmoid roof, is also the most common location for spontaneous CSF leak (5).In this paper, we have analyzed patients who underwent isolated sphenoid surgery in our department with the aim of earlier diagnosis, successful treatment, and avoiding revisions and complications. Materials and methodsData on 40 patients who underwent isolated sphenoid surgery in the Gazi University ORL Department from January 2005 to August 2015 were extracted from the surgical archive charts. The medical records, including clinical and surgical data and imaging findings, were Background/aim: Isolated sphenoid sinus-derived lesions are rare and generally present with unclear symptoms. We are sharing our experience to be mindful of such lesions in differential diagnosis and to help accomplish successful treatment while avoiding revisions and complications.Materials and methods: Data from patients who underwent isolated sphenoid sinus surgeries (ISSs) were retrospectively extracted from the period of January 2005 to August 2015. Demographic data, chief complaints and presenting symptoms, imaging findings, surgical management, and results were evaluated.Results: There were 40 patients who underwent ISS. These patients had different pathologies. The chief complaint was nonspecific headache, except for cerebrospinal fluid leak patients who presented with serous rhinorrhea. Conclusion:It is critical to investigate suspicious symptoms with clinical findings and imaging techniques to avoid late diagnoses of isolated sphenoid pathologies. The transnasal approach is more minimally invasive and tissue-sparing. In our e...

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Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 99%

“…Additionally, lung, breast, seminoma, gastrointestinal, thyroid, malignant melanoma, and prostate cancer metastasis are seen at this location (6,(11)(12)(13)(14)(15).…”

Section: Discussionmentioning

confidence: 99%

“…Pathological attitudes of increased cellularity and mitotic activity, necrosis, and hemorrhage are risk factors for recurrence and metastasis (14).…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Isolated sphenoid sinus pathologies: a series of 40 cases*

Eravcı¹,

Ceylan²,

Göcek³

et al. 2017

Turk J Med Sci

View full text Add to dashboard Cite

show abstract

“…However, unlike lobular capillary hemangiomas and solitary fibrous tumors, it rarely stains positively for CD34, although staining for CD34 and S100 protein can be focally and weakly positive in a small percentage of tumors. (4,5) These lesions occur mainly between the ages of 40 and 60, affecting both females and males. The most common initial presentation is nasal obstruction and recurrent epistaxis.…”

Section: Discussionmentioning

confidence: 99%