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Sinonasal haemangiopericytoma: a case report
Francesco Stomeo1, Valeria Fois, Antonio Cossu
1Department of Otolaryngology and Head and Neck Surgery, Sassari University Medical Centre, Sassari, Italy. fstomeo@libero.it
Summary
Haemangiopericytoma (HPC) is a rare vascular tumor. This case study details a successful surgical removal of a sinonasal HPC in a young woman, with no recurrence after three years.
Area of Science:
- Oncology
- Vascular Tumors
- Head and Neck Surgery
Background:
- Haemangiopericytoma (HPC) is a rare vascular tumor originating from Zimmerman's pericytes.
- While HPC can occur anywhere, 15-30% are in the head and neck, rarely involving the sinonasal region.
- Nasal HPC symptoms like epistaxis and obstruction are non-specific, complicating early diagnosis.
Observation:
- A young woman presented with a sinonasal mass.
- Histopathology and immunochemistry confirmed the diagnosis of haemangiopericytoma.
- The sinonasal HPC was treated surgically via mid-facial degloving after embolization.
Findings:
- The patient underwent successful surgical resection of the sinonasal haemangiopericytoma.
- Post-operative follow-up for three years showed no signs of disease recurrence.
- The patient remained disease-free and in good health.
Implications:
- This case highlights the importance of considering HPC in sinonasal masses, despite its rarity.
- Successful surgical management, including pre-operative embolization, can lead to favorable outcomes.
- Long-term surveillance is crucial for patients with sinonasal haemangiopericytoma.