PRE-SURGICAL EMBOLIZATION OF RECURRENT ORBITAL HEMANGIOPERICYTOMA WITH GLUE

Saima Ahmad

PRE-SURGICAL EMBOLIZATION OF RECURRENT ORBITAL HEMANGIOPERICYTOMA WITH GLUE

Saima Ahmad

Abstract

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.

Full Text:

PDF

References

Henderson, J. W., & Farrow, G. M. (1978). Primary orbital hemangiopericytoma: An aggressive and potentially malignant neoplasm. Archives of Ophthalmology, 96(4), 666-673.

Brown, D. N., MacCarty, C. S., & Soule, E. H. (1965). Orbital hemangiopericytoma: Review of the literature and report of four cases. Journal of neurosurgery, 22(4), 354-361.

Jakobiec, F. A., Howard, G. M., Jones, I. S., & Wolff, M. (1974). Hemangiopericytoma of the orbit. American journal of ophthalmology, 78(5), 816-834.

Croxatto, J. O., & Font, R. L. (1982). Hemangiopericytoma of the orbit: a clinicopathologic study of 30 cases. Human pathology, 13(3), 210-218.

Tihan, T., Viglione, M., Rosenblum, M. K., Olivi, A., & Burger, P. C. (2003). Solitary fibrous tumors in the central nervous system: a clinicopathologic review of 18 cases and comparison to meningeal hemangiopericytomas. Archives of pathology & laboratory medicine, 127(4), 432-439.

Furusato, E., Valenzuela, I. A., Fanburg-Smith, J. C., Auerbach, A., Furusato, B., Cameron, J. D., & Rushing, E. J. (2011). Orbital solitary fibrous tumor: encompassing terminology for hemangiopericytoma, giant cell angiofibroma, and fibrous histiocytoma of the orbit: reappraisal of 41 cases. Human pathology, 42(1), 120-128.

Nanduri, K., Gaddipati, R., Vura, N., & Lingamaneni, K. P. (2015). Hemangiopericytoma in an 11-year-old patient: Case report and review. Journal of Dr. NTR University of Health Sciences, 4(3), 192.

Goldblum, J. R., Weiss, S. W., & Folpe, A. L. (2013). Enzinger and Weiss's Soft Tissue Tumors E-Book. Elsevier Health Sciences.

Espat, N. J., Lewis, J. J., Leung, D., Woodruff, J. M., Antonescu, C. R., Shia, J., & Brennan, M. F. (2002). Conventional hemangiopericytoma. Cancer, 95(8), 1746-1751.

Feldman, Z. T., Reichenthal, E., Zucker, G., & Greiff, M. (1991). Haemangiopericytoma presenting with intracerebral haemorrhage. Case report and review of literature. Acta neurochirurgica, 112(3), 151-153.

Stout, A. P., & Murray, M. R. (1942). Hemangiopericytoma: a vascular tumor featuring Zimmermann's pericytes. Annals of surgery, 116(1), 26.

Fanning, N. F., Kahn, A., & Corbally, M. T. (1997). External carotid artery ligation for life-threatening hemorrhage in exsanguinating orbital facial congenital hemangiopericytoma. Journal of pediatric surgery, 32(8), 1252-1254.

Bernardini, F. P., de Conciliis, C., Schneider, S., Kersten, R. C., & Kulwin, D. R. (2003). Solitary fibrous tumor of the orbit: is it rare? Report of a case series and review of the literature. Ophthalmology, 110(7), 1442-1448.

Chen, H., Xiao, C. W., Wang, T., Wu, J. S., Jiang, C. C., Qian, J., ... & Wang, X. Q. (2012). Orbital solitary fibrous tumor: a clinicopathologic study of ten cases with long-term follow-up. Acta neurochirurgica, 154(2), 249-255.

Pihlblad, M. S., & Schaefer, D. P. (2012). Percutaneous embolization of an orbital hemangiopericytoma with Onyx facilitates its surgical excision. Ophthalmic Plastic & Reconstructive Surgery, 28(6), e147-e149.

Couch, S. M., Garrity, J. A., Cameron, J. D., & Cloft, H. J. (2009). Embolization of orbital varices with N-butyl cyanoacrylate as an aid in surgical excision: results of 4 cases with histopathologic examination. American journal of ophthalmology, 148(4), 614-618.

Craven, J. P., Quigley, T. M., Bolen, J. W., & Raker, E. J. (1992). Current management and clinical outcome of hemangiopericytomas. The American journal of surgery, 163(5), 490-493.

Siniluoto, T. M., Luotonen, J. P., Tikkakoski, T. A., Leinonen, A. S., & Jokinen, K. E. (1993). Value of pre-operative embolization in surgery for nasopharyngeal angiofibroma. The Journal of Laryngology & Otology, 107(6), 514-521.

Mira, J. G., Chu, F. C., & Fortner, J. G. (1977). The role of radiotherapy in the management of malignant hemangiopericytoma. Report of eleven new cases and review of the literature. Cancer, 39(3), 1254-1259.

GOEL, A., MUZUMDAR, D., DESAI, K., & CHAGLA, A. (2003). Retroorbital hemangiopericytoma and cavernous sinus schwannoma. Neurologia medico-chirurgica, 43(1), 47-50.

Fletcher, C. D. M., Bridge, J. A., Hogendoorn, P. C. W., & Mertens, F. (2013). World Health Organization Classification of tumours of soft tissue and bone. 4th.

Refbacks

There are currently no refbacks.