Year 2017 / Volume 109 / Number 1
Case Report
Pelvic hemangiopericytoma. An unusual location of a vascular tumor

69-70

DOI: 10.17235/reed.2016.4165/2015

Irene Álvarez Abad, Jose Mª García González, Leire Agirre Etxabe, Ana Mª Quintana Rivera, Alberto Colina Alonso,

Abstract
Background: The hemangiopericytoma is an uncommon vascular tumour. We report a case of interest because of its rarity, size and location. Case report: We present the case of a 63-year-old woman who consulted for abdominal pain. TAC, MRI and arteriography showed a pelvic mass occupying Douglas’ space, displacing the uterus, bladder and sigma, with vascularisation relative to the inferior mesenteric artery and both hypogastric arteries. The vascularity of the tumour itself was selectively embolised before the mass was resected. There were no intra- or postoperative complications. Pathology confirmed the diagnosis of hemangiopericitoma. The patient is being monitored as an outpatient, with no signs of recurrence to date. Discussion: The hemangiopericytoma is a tumour of the pericyte cells so it can occur in any location. The pelvic location is exceptional. The tumour may appear as nonspecific abdominal pain, show signs of compression of adjacent organs or occasionally be associated with paraneoplastic syndromes. The diagnosis is suspected via CT and angiography findings, but confirmation is only made by analysing the surgical specimen. The treatment of choice is surgery, in some cases after preoperative embolisation of the vascularisation of the mass. There is no agreement on chemo/radiotherapy as the primary treatment for hemangiopericytoma, although adjuvant radiation therapy has been found to improve local control and reduce recurrences. The prognosis is good if complete resection is achieved, with five- and 10-year survival rates between 70 and 80%, depending on the series.
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References
1. Villalba V, García R, Gubert J, et al. Hemangiopericitoma de localización intestinal. Cir Esp. 2005;77:48-50.
2. Prats Lopez J, Bellmunt Molins J, Calvo Mateo MA et al. Hemangiopericitoma pelviano. Arch Esp Urol 1988; 41; 6;(475-478).
3. Stout AP, Murray MR. Hemangiopericytoma: a vascular tumor featu¬ring Zimmerman’s pericytes. Ann Surg. 1942;116:26-33.
4. Sheldon C, Binder MD, Hubert J, et al. Intraabdominal hemangiopericytoma: report of four cases and re¬view of literature. Arch Surg. 1973;107:536-43
5. McMaster MJ, Soule EH, Ivins JC. Hemangiopericytoma: a clinico¬pathologic study and long-term folow up of 60 patiens. Cancer. 1975; 36:2232-44.
6. Lema Grille J, Cimadevilla García A, Rodriguez Nuñez H et al. Hemangiopericitoma retroperitoneal gigante. Actas Urologicas Españolas 2001;25;672-675
7. Lado Lado FL, Carballo Fernandez C, Cutin Prieto C et al. Hemangiopericitoma de localización pelviana con extirpación amplia y recidiva retroperitoneal que causa la muerte al cabo de cinco años. Neoplasia, 4: 86. 1987
8. García Molina FJ, Franco Osorio JD, Medina Díez J. Hemangiopericitoma pélvico. Extirpación combinada abdominoperineal. Rev Esp Enferm Dig. 2002;94:558-60.
9. Mira J, Chu F, Fortner J. The role of radiotherapy in the manage¬ment of malignant hemangiopericytoma: report of eleven new cases and review of the literature. Cancer. 1977;39:1254-9.
10. Wong P, Yagoda A. Chemotherapy of malignant hemangiopericyto¬ma. Cancer 1978;41:1256-60.
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Álvarez Abad I, García González J, Agirre Etxabe L, Quintana Rivera A, Colina Alonso A. Pelvic hemangiopericytoma. An unusual location of a vascular tumor. 4165/2015


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Publication history

Received: 15/12/2015

Accepted: 13/01/2016

Online First: 25/02/2016

Published: 03/01/2017

Article revision time: 25 days

Article Online First time: 72 days

Article editing time: 385 days


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