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Endoscopic, endonasal management of sinonasal haemangiopericytoma: 12-year experience

Published online by Cambridge University Press:  04 May 2010

M Bignami ,
I Dallan ,
P Battaglia ,
R Lenzi ,
A Pistochini  and
P Castelnuovo
M Bignami
Affiliation:
Department of Otorhinolaryngology, University of Insubria, Varese, Italy
I Dallan*
Affiliation:
ENT Unit, Azienda Ospedaliero-Universitaria Pisana, Pisa, Italy
P Battaglia
Affiliation:
Department of Otorhinolaryngology, University of Insubria, Varese, Italy
R Lenzi
Affiliation:
ENT Unit, Azienda Ospedaliero-Universitaria Pisana, Pisa, Italy
A Pistochini
Affiliation:
Department of Otorhinolaryngology, University of Insubria, Varese, Italy
P Castelnuovo
Affiliation:
Department of Otorhinolaryngology, University of Insubria, Varese, Italy
*
Address for correspondence: Dr Iacopo Dallan, ENT Unit, Azienda Ospedaliero-Universitaria Pisana, Via Savi 10, 56126 Pisa, Italy. Fax: +39 050 993239 E-mail: iacopodallan@tiscali.it
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Abstract

Aim:

To report our experience with endoscopic, endonasal management of sinonasal haemangiopericytoma.

Materials and methods:

Retrospective review of the medical records of 10 patients undergoing endoscopic, endonasal surgery for sinonasal haemangiopericytoma of the nose and paranasal sinuses, between 1997 and 2008.

Results:

Five men and five women were included. Their mean age at surgery was 59 years. All patients underwent endoscopic, endonasal resection of their tumour. Major post-operative complications were encountered in only one patient (stroke). Local recurrence was diagnosed in only one patient (10 per cent), who subsequently underwent a combined resection (endoscopic and external) with orbital exenteration.

Conclusions:

Sinonasal haemangiopericytomas are rare tumours that are usually benign. The mainstay of treatment is wide surgical excision with free resection margins. Nowadays, the great majority of patients can be treated using a purely endoscopic, endonasal approach.

Keywords

Paranasal Sinus NeoplasmsHaemangiopericytomaEndoscopy
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 124 , Issue 11 , November 2010 , pp. 1178 - 1182
Copyright
Copyright © JLO (1984) Limited 2010

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References

1 Stout, AP, Murray, MR. Hemangiopericytoma: a vascular tumor featuring Zimmerman's pericytes. Ann Surg 1942;116:26–33CrossRefGoogle Scholar
2 Compagno, J, Hyams, VJ. Hemangiopericytoma-like intranasal tumors: a clinicopathological study of 23 cases. Am J Clin Pathol 1976;66:672–83CrossRefGoogle ScholarPubMed
3 Tse, LLY, Chan, JKS. Sinonasal hemangiopericytoma-like tumor: a sinonasal glomus tumour or a hemangiopericytoma? Histopathology 2002;40:510–17CrossRefGoogle Scholar
4 Wilson, T, Hellquist, HB, Ray, S, Pickles, J. Intranasal myopericytoma. A tumur with perivascular myoid differentiation: the changing nomenclature for haemangiopericytoma. J Laryngol Otol 2007;121:786–9CrossRefGoogle Scholar
5 Gillman, G, Pavlovich, JB. Sinonasal hemangiopericytoma. Otolaryngol Head Neck Surg 2004;131:1012–13CrossRefGoogle ScholarPubMed
6 Schlosser, RJ, Woodworth, BA, Gillespie, MB, Day, TA. Endoscopic resection of sinonasal hemangiomas and hemangiopericytomas. ORL J Otorhinolaryngol Relat Spec 2006;68:69–72CrossRefGoogle ScholarPubMed
7 Castelnuovo, P, Battaglia, P, Locatelli, D, Delù, G, Sberze, F, Bignami, M. Endonasal micro-endoscopic treatment of malignant tumors of the paranasal sinuses and anterior skull base. Operative Techniques in Otolaryngology-Head and Neck Surgery 2006;17:152–67CrossRefGoogle Scholar
8 Castelnuovo, P, Pagella, F, Delù, G, Benazzo, M, Cerniglia, M. Endoscopic resection of nasal haemangiopericytoma. Eur Arch Otorhinolaryngol 2003;260:244–7CrossRefGoogle ScholarPubMed
9 Barnes, L. Hemangiopericytoma. In: Barnes, L, ed. Surgical Pathology of the Head and Neck. New York: Marcel Dekker, 2002;986–91Google Scholar
10 Thompson, LDR, Miettinen, M, Wenig, BM. Sinonasal-type hemangiopericytoma. A clinicopathological and immunophenotypic analysis of 104 cases showing perivascular myoid differentiation. Am J Surg Pathol 2003;27:737–49CrossRefGoogle ScholarPubMed
11 Kuo, FY, Lin, HC, Eng, HL, Huang, CC. Sinonasal hemangiopericytoma-like tumor with true pericytic myoid differentiation: a clinicopathologic and immunohistochemical study of five cases. Head Neck 2005;27:124–9CrossRefGoogle ScholarPubMed
12 Enzinger, FM, Smith, BH. Hemangiopericytoma. An analysis of 106 cases. Hum Pathol 1976;7:61–82CrossRefGoogle ScholarPubMed
13 Diaz-Flores, L, Gutierrez, R, Varela, H, Rancel, N, Valladares, F. Microvascular pericytes: a review of their morphological and functional characteristics. Histol Histopathol 1991;6:269–86Google ScholarPubMed
14 Gorestein, A, Facer, GW, Weiland, LH. Hemangiopericytoma of the nasal cavity. Otolaryngol 1978;86:405–15Google Scholar
15 Catalano, PJ, Brandwein, M, Shah, DK, Urken, ML, Lawson, W, Biller, HF. Sinonasal hemangiopericytomas: a clinicopathologic and immunohistochemical study of seven cases. Head Neck 1996;18:42–533.0.CO;2-Z>CrossRefGoogle ScholarPubMed
16 Carew, JF, Singh, B, Kraus, DH. Hemangiopericytoma of the head and neck. Laryngoscope 1999;109:1409–11CrossRefGoogle ScholarPubMed
17 Hervé, S, Abd Alsamad, I, Beautru, R, Gaston, A, Bedbeder, P, Peynègre, R et al. Management of sinonasal hemangiopericytomas. Rhinology 1999;37:153–8Google ScholarPubMed
18 Billings, KR, Fu, YS, Calcaterra, TC, Sercarz, JA. Hemangiopericytoma of the head and neck. Am J Otolaryngol 2000;21:238–43CrossRefGoogle ScholarPubMed