Haemangiopericytoma of the Internal Jugular Vein: an Unusual Neck Mass

Digumarthy, Subba R.; Peri, Nagamani; Malladi, Umadevi; Jinna, Jagan M R; Challa, Sundaram

doi:10.1016/s1477-6804(03)00006-2

Cited by 5 publications

(5 citation statements)

References 14 publications

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“…In the head and neck region it has been described in the orbit, nasal cavity, oral cavity, jaw, parotid gland, parapharyngeal space, masticator space, jugular foramen, etc. [ 12 ]. Cellular SFT may occur in all age groups, predominantly in the 6 th and 7 th decades, with no sex predilection.…”

Section: Discussionmentioning

confidence: 99%

“…Clinically, the cellular SFT usually presents as a painless enlarging mass [ 2 ], symptoms being mostly due to pressure on adjacent structures [ 12 ]. Various paraneoplastic syndromes have been described in association with cellular SFT, including hypoglycemia, hypophosphatemic osteomalacia and hypertrophic pulmonary osteoarthropathy [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

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Hemangiopericytoma of the neck

et al. 2010

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Hemangiopericytoma (HPC) is an exceedingly rare tumor of uncertain malignant potential. Approximately 300 cases of HPC have been reported since Stout and Murray described HPCs as "vascular tumors arising from Zimmerman's pericytes" in 1942. After further characterization, the WHO reclassified HPC as a fibroblastic/myofibroblastic tumor. Long term follow up is mandatory because the histologic criteria for prediction of biologic behavior are imprecise. There are reports of recurrence and metastasis many years after radical resection. The head and neck incidence is less than 20%, mostly in adults.We report herein a case of HPC resected from the neck of a 74-year-old woman, who presented in our department with a painless right-sided neck mass. The mass was well circumscribed, mobile and soft during the palpation. The skin over the tumor was intact and normal. Clinical diagnosis at this time was lipoma. A neck computer tomography scan showed a large submucosal mass in the neck, which extended in the muscular sites. The tumor was completely removed by wide surgical resection. During surgery we found a highly vascularised tumor. The histopathologic examination revealed a cellular, highly vascularized tumor. The diagnosis was that of solitary fibrous tumor, cellular variant, with haemangiopericytoma-like features. The patient had normal postoperative course of healing and 24 months later she remains asymptomatic, without signs of recurrence or metastases.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Hemangiopericytoma of the neck

et al. 2010

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“…Hemangiopericytomas are about 1% of all vascular tumors and can be found in the head-neck region with an incidence between 16% and 33%; HPC have been described inside orbit, nose, oral cavity, parotid gland, parapharyngeal space, jugular foramen, and so forth [ 3 , 4 ]. This neoplasm can appear at any age but it is predominant between 6th and 7th decade and equally distributed between sexes.…”

Section: Introductionmentioning

confidence: 99%

“…This neoplasm can appear at any age but it is predominant between 6th and 7th decade and equally distributed between sexes. Etiology is unknown, but traumas, long therapies with corticosteroids, or hormonal imbalances may be involved [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Synchronous Papillary Carcinoma and Hemangiopericytoma with Lung Metastases

Mozzillo

Iannini

Rocchi

et al. 2013

Case Reports in Otolaryngology

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Hemangiopericytomas (HPC) are uncommon tumors that originate from perivascular cells of capillary vessels. HPC are about 1% of all vascular tumors and can be found in the head-neck region with an incidence between 16% and 33%. HPC is a neoplasm of uncertain malignant potential; it can behave as an aggressive tumor with metastases and increased mitotic activity or as a relatively benign neoplasm with only local development. In this paper we describe a case of hemangiopericytoma with uncertain malignant potential with cervical location associated with a concomitant papillary thyroid carcinoma and lung metastasis of unknown origin; this case led us to follow a specific and uncommon diagnostic and therapeutic strategy.

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“…The head and neck incidence is 15-30% and it is mostly seen in adults. In the head and neck region it is usually seen in the orbit, nasal cavity, oral cavity, jaw, parotid gland, parapharyngeal space, masticator space and jugular foramen [ 5 , 6 ]. The patient described in our report presented with symptoms of parapharyngeal compression due to such a tumor.…”

Section: Introductionmentioning

confidence: 99%

Parapharyngeal space hemangiopericytoma treated with surgery and postoperative radiation- a case report

et al. 2012

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Hemangiopericytoma (HPC) is a rare tumor of uncertain malignant potential arising from mesenchymal cells with pericytic differentiation. It accounts for 3-5% of soft tissue sarcomas and 1% of vascular tumors. It usually presents in 5th to 6th decade of life. Most common sites are limbs, pelvis and head and neck. About 20% of all hemangiopericytomas are seen in head and neck, mostly in adults. Usually it presents in orbit, nasal cavity, oral cavity, jaw, parotid gland, parapharyngeal space, masticator space and jugular foramen. Long term follow up is important because of imprecise nature of the histological criteria for prediction of biologic behavior.We report herein a case of HPC in 66-year-old man, who presented in our department with headache, nasal obstruction and dysphagia. A neck computer tomography scan and magnetic resonance imaging showed a large left parapharyngeal mass bulging into nasopharynx and oropharynx with extension to pharyngeal mucosal surface and causing narrowing of airways and total obstruction of left posterior nostril. Angiography showed a highly vascular neoplasm. Initially he was managed as a case of schwannoma and embolization was done but with no response. An attempt to do complete surgical resection was made, but due to its critical position, it was not possible. During surgery, highly vascularised tumor was found. The histopathologic examination revealed a vascular tumor consistent with hemangiopericytoma G-II. The patient had normal postoperative course of healing and was given adjuvant radiation. He is on regular follow up without signs of recurrence or metastases.In summary, parapharyngeal space is a rare site of presentation for hemangiopericytoma which is highly vascular tumor, requiring extensive work up including magnetic resonance imaging, computed tomography scan and angiography. Complete surgical excision should be attempted. Postoperative radiation is indicated in cases of incomplete resection.

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Haemangiopericytoma of the Internal Jugular Vein: an Unusual Neck Mass

Cited by 5 publications

References 14 publications

Hemangiopericytoma of the neck

Hemangiopericytoma of the neck

Synchronous Papillary Carcinoma and Hemangiopericytoma with Lung Metastases

Parapharyngeal space hemangiopericytoma treated with surgery and postoperative radiation- a case report

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