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Case Reports
. 2020 Oct 4;13(10):e239135.
doi: 10.1136/bcr-2020-239135.

Hemangiopericytoma of meningo-fronto-naso-orbito-maxillary complex

Bhavuk Vanza  1 , Anshul Rai  2 , Neha Khare  3 , H S Verma  4
Affiliations
Case Reports

Hemangiopericytoma of meningo-fronto-naso-orbito-maxillary complex

Bhavuk Vanza et al. BMJ Case Rep. .

Abstract

Hemangiopericytoma (HPC) is a rare vascular tumour and difficult to diagnose clinically. Incidence is reported in fourth to fifth decade of life.With female predominance, 3%-5% cases affect the oral cavity, sinus lining and meninges. The patient presented with 8×6 cm swelling on her face, evaluation reported it to be HPC. Bilateral maxillary artery embolisation, wide local excision of the lesion, preserving the left eye and its function, was done. No recurrence is reported at 1-year follow-up. Response of such lesions to radiotherapy is questionable; with no lymphadenopathy and adequate encapsulation, embolisation of feeder vessel followed by a wide local excision of the lesion seems to be a fairly good option of treatment.

Keywords: dentistry and oral medicine; oral and maxillofacial surgery.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Preoperative frontal view of the patient.
Figure 2
Figure 2
Axial CT scan of the patient.
Figure 3
Figure 3
CT angiography of the patient.
Figure 4
Figure 4
Incision marking.
Figure 5
Figure 5
Intraoperative picture showing complete excision of tumour.
Figure 6
Figure 6
Resected tumour.
Figure 7
Figure 7
Suturing of the extraoral incision with Prolene suture.
Figure 8
Figure 8
Postoperative frontal profile of the patient.
See this image and copyright information in PMC

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