A Case Report of Sinonasal Hemangiopericytoma

Jiann Jy Chen, Jan Wen Ku, Chi-Jen Chen, Tsung Ming Chen, Hsing-Won Wang, Wei-Hwa Lee, Dem Lion Chen

Research output: Contribution to journalArticle

Abstract

Sinonasal hemangiopericytoma is a rare sinonasal mesenchymal tumor, and is considered different from other reported hemangiopericytomas. A 37-year-old man presented with intermittent left epistaxis for three days. Rhinoscopic examination revealed a smooth red mass in the left middle nasal meatus. A pathology report of the biopsy specimen showed sinonasal hemangiopericytoma. Magnetic resonance imaging demonstrated the tumor had eroded the posterior nasal septum, involved the bilateral posterior ethmoid sinuses, and obstructed the ostium of the left maxillary sinus causing left maxillary sinusitis. After transarterial embolization, the tumor was endoscopically excised with a microdebrider. The postoperative course was uneventful and epistaxis did not recur during the following two years. Follow-up magnetic resonance imaging did not show any tumor recurrence, although the bilateral maxillary sinusitis remained. Nevertheless, the patient should be followed regularly to exclude the possibility of recurrence or metastasis.
Original languageEnglish
Pages (from-to)27-31
Number of pages5
Journal中山醫學雜誌
Volume23
Issue number1
Publication statusPublished - 2012

Fingerprint

Hemangiopericytoma
Maxillary Sinusitis
Epistaxis
Neoplasms
Magnetic Resonance Imaging
Ethmoid Sinus
Nasal Septum
Recurrence
Maxillary Sinus
Nose
Pathology
Neoplasm Metastasis
Biopsy

Keywords

  • 血管外皮細胞瘤
  • 鼻及鼻竇腫瘤
  • 血管瘤
  • 流鼻血
  • 泛鼻竇炎
  • hemangiopericytoma
  • sinonasal neoplasm
  • hemangioma
  • epistaxis
  • pan-sinusitis

Cite this

Chen, J. J., Ku, J. W., Chen, C-J., Chen, T. M., Wang, H-W., Lee, W-H., & Chen, D. L. (2012). A Case Report of Sinonasal Hemangiopericytoma. 中山醫學雜誌, 23(1), 27-31.

A Case Report of Sinonasal Hemangiopericytoma. / Chen, Jiann Jy; Ku, Jan Wen; Chen, Chi-Jen; Chen, Tsung Ming; Wang, Hsing-Won; Lee, Wei-Hwa; Chen, Dem Lion.

In: 中山醫學雜誌, Vol. 23, No. 1, 2012, p. 27-31.

Research output: Contribution to journalArticle

Chen, JJ, Ku, JW, Chen, C-J, Chen, TM, Wang, H-W, Lee, W-H & Chen, DL 2012, 'A Case Report of Sinonasal Hemangiopericytoma', 中山醫學雜誌, vol. 23, no. 1, pp. 27-31.
Chen, Jiann Jy ; Ku, Jan Wen ; Chen, Chi-Jen ; Chen, Tsung Ming ; Wang, Hsing-Won ; Lee, Wei-Hwa ; Chen, Dem Lion. / A Case Report of Sinonasal Hemangiopericytoma. In: 中山醫學雜誌. 2012 ; Vol. 23, No. 1. pp. 27-31.
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AB - Sinonasal hemangiopericytoma is a rare sinonasal mesenchymal tumor, and is considered different from other reported hemangiopericytomas. A 37-year-old man presented with intermittent left epistaxis for three days. Rhinoscopic examination revealed a smooth red mass in the left middle nasal meatus. A pathology report of the biopsy specimen showed sinonasal hemangiopericytoma. Magnetic resonance imaging demonstrated the tumor had eroded the posterior nasal septum, involved the bilateral posterior ethmoid sinuses, and obstructed the ostium of the left maxillary sinus causing left maxillary sinusitis. After transarterial embolization, the tumor was endoscopically excised with a microdebrider. The postoperative course was uneventful and epistaxis did not recur during the following two years. Follow-up magnetic resonance imaging did not show any tumor recurrence, although the bilateral maxillary sinusitis remained. Nevertheless, the patient should be followed regularly to exclude the possibility of recurrence or metastasis.

KW - 血管外皮細胞瘤

KW - 鼻及鼻竇腫瘤

KW - 血管瘤

KW - 流鼻血

KW - 泛鼻竇炎

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KW - hemangioma

KW - epistaxis

KW - pan-sinusitis

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