Primary endodermal hemangiopericytoma/solitary fibrous tumor of the cervical spine: a case report and literature review

Abstract Background Hemangiopericytoma (HPC), also known as solitary fibrous tumor (SFT), is a type of soft tissue sarcoma with a special aggressive behavior. The HPC/SFT is locally aggressive with possibility of late recurrence locally or distant extraneural metastasis. The most common location of...

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Autores principales: Liyun Wang, Jianbo Yu, Dongping Shu, Bin Huang, Yumin Wang, Luyuan Zhang
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Lenguaje:EN
Publicado: BMC 2021
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spelling oai:doaj.org-article:226f3250a4f9408795f3d63713983f1b2021-11-28T12:07:29ZPrimary endodermal hemangiopericytoma/solitary fibrous tumor of the cervical spine: a case report and literature review10.1186/s12893-021-01399-61471-2482https://doaj.org/article/226f3250a4f9408795f3d63713983f1b2021-11-01T00:00:00Zhttps://doi.org/10.1186/s12893-021-01399-6https://doaj.org/toc/1471-2482Abstract Background Hemangiopericytoma (HPC), also known as solitary fibrous tumor (SFT), is a type of soft tissue sarcoma with a special aggressive behavior. The HPC/SFT is locally aggressive with possibility of late recurrence locally or distant extraneural metastasis. The most common location of this HPC/SFT is the lower extremities. The HPC/SFT in the central nervous system (CNS) is very rare, and compared with the brain, it is rarer in the spinal region. However, clinicians also lack an overall understanding of the diagnosis of HPC/SFT in the spinal cord. Case presentation In this study, we report a rare case of primary cervical spine HPC/SFT in a 53-year-old woman. Two to three weeks before admission, she experienced pain and numbness in her left upper extremity. After computerized tomography (CT) and magnetic resonance imaging (MRI), a gross total resection was performed. Obvious neurological improvement was observed postoperatively. The pain and numbness in the patient's left upper limb were relieved subsequently. We then reviewed the literature on HPC/SFT, such as its clinical presentation, imaging characteristics, treatment, and follow-up. Conclusions Diagnosis of HPC/SFT relies on magnetic resonance spectroscopy, enhanced CT, and MRI. Postoperative radiotherapy is strongly recommended to reduce the HPC/SFT recurrence. Immunohistochemical analysis can also help in the differential diagnosis. However; early and long-term follow-up is necessary for patients.Liyun WangJianbo YuDongping ShuBin HuangYumin WangLuyuan ZhangBMCarticleHemangiopericytomaSolitary fibrous tumorPrimary cervical spine tumorCase reportSurgeryRD1-811ENBMC Surgery, Vol 21, Iss 1, Pp 1-7 (2021)
institution DOAJ
collection DOAJ
language EN
topic Hemangiopericytoma
Solitary fibrous tumor
Primary cervical spine tumor
Case report
Surgery
RD1-811
spellingShingle Hemangiopericytoma
Solitary fibrous tumor
Primary cervical spine tumor
Case report
Surgery
RD1-811
Liyun Wang
Jianbo Yu
Dongping Shu
Bin Huang
Yumin Wang
Luyuan Zhang
Primary endodermal hemangiopericytoma/solitary fibrous tumor of the cervical spine: a case report and literature review
description Abstract Background Hemangiopericytoma (HPC), also known as solitary fibrous tumor (SFT), is a type of soft tissue sarcoma with a special aggressive behavior. The HPC/SFT is locally aggressive with possibility of late recurrence locally or distant extraneural metastasis. The most common location of this HPC/SFT is the lower extremities. The HPC/SFT in the central nervous system (CNS) is very rare, and compared with the brain, it is rarer in the spinal region. However, clinicians also lack an overall understanding of the diagnosis of HPC/SFT in the spinal cord. Case presentation In this study, we report a rare case of primary cervical spine HPC/SFT in a 53-year-old woman. Two to three weeks before admission, she experienced pain and numbness in her left upper extremity. After computerized tomography (CT) and magnetic resonance imaging (MRI), a gross total resection was performed. Obvious neurological improvement was observed postoperatively. The pain and numbness in the patient's left upper limb were relieved subsequently. We then reviewed the literature on HPC/SFT, such as its clinical presentation, imaging characteristics, treatment, and follow-up. Conclusions Diagnosis of HPC/SFT relies on magnetic resonance spectroscopy, enhanced CT, and MRI. Postoperative radiotherapy is strongly recommended to reduce the HPC/SFT recurrence. Immunohistochemical analysis can also help in the differential diagnosis. However; early and long-term follow-up is necessary for patients.
format article
author Liyun Wang
Jianbo Yu
Dongping Shu
Bin Huang
Yumin Wang
Luyuan Zhang
author_facet Liyun Wang
Jianbo Yu
Dongping Shu
Bin Huang
Yumin Wang
Luyuan Zhang
author_sort Liyun Wang
title Primary endodermal hemangiopericytoma/solitary fibrous tumor of the cervical spine: a case report and literature review
title_short Primary endodermal hemangiopericytoma/solitary fibrous tumor of the cervical spine: a case report and literature review
title_full Primary endodermal hemangiopericytoma/solitary fibrous tumor of the cervical spine: a case report and literature review
title_fullStr Primary endodermal hemangiopericytoma/solitary fibrous tumor of the cervical spine: a case report and literature review
title_full_unstemmed Primary endodermal hemangiopericytoma/solitary fibrous tumor of the cervical spine: a case report and literature review
title_sort primary endodermal hemangiopericytoma/solitary fibrous tumor of the cervical spine: a case report and literature review
publisher BMC
publishDate 2021
url https://doaj.org/article/226f3250a4f9408795f3d63713983f1b
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