Treatment of orbital haemangiopericytoma with surgery and preoperative embolization

Jeeva, Irfan; Chang, Bernard; Bagdonaite, Laura; Kalantzis, George; Fearnley, Thomas; Ismail, Azzam; Patankar, Tufail; Goddard, Tony

doi:10.1038/eye.2012.238

Cited by 6 publications

(7 citation statements)

References 5 publications

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“…Methods for embolization have included polyvinyl alcohol, Onyx (eV3-Covidian, Irvine, CA), and particulate embospheres (150–300 μm). 1,4,5 The use of n-BCA for preoperative embolization of orbital hemangiopericytoma was reported. The use of n-BCA to embolize vascular lesions in the orbit has been reported in the past.…”

Section: Discussionmentioning

confidence: 99%

“…This risk was ameliorated with the technique used (see below); however, further study will be needed to compare these 2 agents. Jeeva et al 5 described the successful use of embosphere particles, which also offer good control and low risk of reflux. However, Wang et al 18 recently reported the increased risk of hemorrhage in using embopsheres when compared with n-BCA in hypervascular pediatric brain tumors.…”

Section: Discussionmentioning

confidence: 99%

“…2 Many cases of orbital hemangiopericytoma have been reported in the literature along with various surgical approaches, long-term outcomes, and techniques to manage recurrence; however, few have discussed preoperative embolization. 1,3-5 Intraoperative hemorrhage is a concern in both the congenital and the adult form of these cases 6,7 and may be an indication for preoperative embolization. A unique case of preoperative embolization was presented with n-butyl cyanoacrylate for surgical resection of a large orbital hemangiopericytoma in a 58-year-old woman.…”

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confidence: 99%

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Endovascular Preoperative Embolization of Orbital Hemangiopericytoma With n-Butyl Cyanoacrylate Glue

Wallace

Alaraj

Aakalu

et al. 2014

Ophthalmic Plastic &Amp; Reconstructive Surgery

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Hemangiopericytoma is an uncommon neoplasm that may present in myriad locations, including the lower extremities, pelvic area, and the head and neck area, including the orbit.1 Orbital hemangiopericytoma is often described as synonymous with orbital solitary fibrous tumor, giant cell angiofibroma, and fibrous histiocytoma, as they all belong to a spectrum of collagen-rich fibroblastic tumors that are often CD34-positive and have overlapping histopathologic features.2 Many cases of orbital hemangiopericytoma have been reported in the literature along with various surgical approaches, long-term outcomes, and techniques to manage recurrence; however, few have discussed preoperative embolization.1,3-5 Intraoperative hemorrhage is a concern in both the congenital and the adult form of these cases6,7 and may be an indication for preoperative embolization. A unique case of preoperative embolization was presented with n-butyl cyanoacrylate for surgical resection of a large orbital hemangiopericytoma in a 58-year-old woman.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Endovascular Preoperative Embolization of Orbital Hemangiopericytoma With n-Butyl Cyanoacrylate Glue

Wallace

Alaraj

Aakalu

et al. 2014

Ophthalmic Plastic &Amp; Reconstructive Surgery

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“…Previous reports have used orbitotomy or craniectomy to expose the mass [ 1 , 5 , 6 ]. In these cases, the tumors were mainly located extraconally and on the superior or medial wall of the orbit.…”

Section: Discussionmentioning

confidence: 99%

Preoperative transarterial embolization of a recurrent orbital solitary fibrous tumor with significant hypervascularity: a case report

et al. 2021

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Background Orbital solitary fibrous tumors (SFTs) are rare neoplasms. Recurrent, hypervascular, malignant variations of orbital SFTs have recently been noted and can present a surgical challenge. Case presentation We describe a case of a 53-year-old Chinese woman with a history of a resected orbital SFT. She presented with proptosis, limited eyeball movement, and visual loss in the right eye, suggestive of a recurrent SFT. Ocular examination with multimodal imaging revealed a large, nonpulsatile, noncompressible, hypervascular mass behind the eyeball. The patient underwent preoperative transarterial embolization of the main blood supply to the tumor in order to control intraoperative blood loss, followed by ocular enucleation to optimize exposure and enable complete resection of the tumor. Embolization of the right ophthalmic artery and the distal branch of the right internal maxillary artery caused an immediate, substantial reduction of vascular flow, which allowed us to enucleate the eyeball and resect the tumor with minimal blood loss and no complications. Conclusions Our case is so far the first Chinese case of successful preoperative embolization of the main blood supply to a large, recurrent, hypervascular orbital SFT. This case also described a different surgical approach to achieve total removal of an orbital SFT without osteotomy.

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“…Similarly, this technique showed successful results for spinal, [ 13 ] mediastinal, [ 14 ] and orbital HPCs. [ 15 ] In about 4 articles, preoperative embolization has been used for sinonasal HPC. In almost all cases, the maxillary artery was targeted, and none of the authors mentioned a single morbidity case.…”

Section: Discussionmentioning

confidence: 99%

Salvage preoperative embolization of an infratemporal solitary fibrous tumor

Yammine

Nasser²,

Hadi³

et al. 2018

Medicine

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Rationale:Head and Neck Solitary fibrous tumors (SFT) are very rare. They could be misdiagnosed as hemangiopericytomas (HPC).Patient concerns:We report a 60 y o lady presenting with sinonasal mass, causing recurrent profuse bleeding.Diagnoses:Hemangioperocytomas versus SFT were among the differentials, according to Radiological studies. Upon Biopsy, the diagnosis of SFT has been adopted.Interventions:Salvage pre-operative embolization resulted in bleeding control, bridging the patient to surgery.Outcomes:Post-operative course was uneventful, and patient symptoms resolved.Lessons:This is the first case report of a sinonasal SFT, where pre-operative embolization has been employed as a salvage procedure. This treatment modality is promising, since it controls bleeding, bridges patient to surgery and decreases blood loss during the surgical procedure.

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Treatment of orbital haemangiopericytoma with surgery and preoperative embolization

Cited by 6 publications

References 5 publications

Endovascular Preoperative Embolization of Orbital Hemangiopericytoma With n-Butyl Cyanoacrylate Glue

Endovascular Preoperative Embolization of Orbital Hemangiopericytoma With n-Butyl Cyanoacrylate Glue

Preoperative transarterial embolization of a recurrent orbital solitary fibrous tumor with significant hypervascularity: a case report

Salvage preoperative embolization of an infratemporal solitary fibrous tumor

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