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  Contents > Previous page > Article detail print Order
o Issue N# 5 - 2010 o

RHINOLOGY

Sinonasal hemangiopericytoma


Authors : Hofmann V, Holzhausen HJ, Koesling S, Knipping S. (Berlin)

Ref. : Rev Laryngol Otol Rhinol. 2010;131,4:313-315.

Article published in english
Downloadable PDF document english



Summary : Hemangiopericytoma (HPC) is a rare entity that is found in only 1% of vascular tumours. Only 5% of HPC are localized in the nasal cavity or paranasal sinuses. The exact incidence is not stated in the literature. Case report: A case of a 76-year-old female patient is presented. As she suffered from stroke a cranial CT was performed and the tumour of the paranasal sinuses was diagnosed incidentally. The patient had a history of paranasal sinus surgery under local anaesthesia twenty years ago. The former histological diagnosis was stated as “angiofibroma with signs of proliferation”. The histopathologic diagnosis after endo­nasal sinus surgery was primarily a neoplasia with spindle-shaped cell formation. Just additional immunocyto­chemistry revealed the finding of primitive mesen­chymal cells. This confirmed the diagnosis of a heman­gio­­peri­cy­toma. The two years follow-up showed no signs and symp­toms of recurrent tumour on endosco­pic examination and CT scans. Conclusion: Hemangio­peri­cytoma is a rare endo­nasal or sinonasal tumour. Occasio­nally histological diagnosis is difficult. Its characteristics are marked cellularity, vascu­la­rity and a dense net of reticular fibres. The entity shows a considerable tendency to recurrence, malignant trans­for­ma­tion and metastasizing. After complete sinonasal surgery a regular short term follow up is advisable.

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