Saima Ahmad


Hemangiopericytoma’s are a type of vascular tumors originating from pericyte cells in the eye and they constitute only 3% of all primary orbital tumors (1). While mostly acting as benign, these tumors have a high recurrence rate in the case of incomplete excision (2,3,4). While a reasonable number of cases of hemangiopericytoma have been reported in literature none of them discuss pre-operative embolization and how it improves success rate in surgery (6,7,8). The treatment of choice for such tumors is complete surgical excision however due to the vascular nature of the tumors, it is not always achieved. Incomplete excisions come with a number of risks such as increased risk of recurrence and metastasis of the tumor.

The use of n-butyl cyanoacrylate (n-BCA) in pre-surgical embolization of feeding vessel in controlling recurrent orbital hemangiopericytoma is rare. We are therefore reporting a case of pre-surgical embolization in orbital hemangiopericytoma, that recurred for the sixth time after multiple incomplete excisions.

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