Endoscopic Resection of Sinonasal Hemangiopericytoma following Preoperative Embolisation: A Case Report and Literature Review
Objectives. Hemangiopericytoma is a rare tumor entity deriving from pericytes. Less than 5% of hemangiopericytoma occur in the nasal cavity and are characterised by a rather benign nature with low tendency of metastasis. However, as the recurrence rate in the literature ranges from 9.5% to 50%—depen...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Case Reports in Otolaryngology |
| Online Access: | http://dx.doi.org/10.1155/2013/796713 |
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| author | Georg J. Ledderose Donata Gellrich Markus Holtmannspötter Andreas Leunig |
| author_facet | Georg J. Ledderose Donata Gellrich Markus Holtmannspötter Andreas Leunig |
| author_sort | Georg J. Ledderose |
| collection | DOAJ |
| description | Objectives. Hemangiopericytoma is a rare tumor entity deriving from pericytes. Less than 5% of hemangiopericytoma occur in the nasal cavity and are characterised by a rather benign nature with low tendency of metastasis. However, as the recurrence rate in the literature ranges from 9.5% to 50%—depending on the length of followup—a radical surgical resection is considered as the gold-standard treatment. Only a few years ago, a wide external approach, usually via lateral rhinotomy or Caldwell-Luc, was performed. Endoscopic techniques were regarded as appropriate for small low-vascularised tumors only. Methods. We present the case of a 64-year-old patient with an extended sinonasal hemangiopericytoma, who was successfully treated by an endoscopic controlled endonasal tumor resection after embolisation with Onyx. Further, to support the new treatment option, we review the literature concerning all features of sinonasal hemangiopericytomas and their therapeutical management. Results/Conclusion. Onyx, which has not been described in the context of hemangiopericytoma yet, is a very effective embolic agent for a preoperative embolisation of sinonasal hemangiopericytoma allowing a safe endoscopic surgery. |
| format | Article |
| id | doaj-art-47b642b825144b8e834d3370fb203846 |
| institution | Kabale University |
| issn | 2090-6765 2090-6773 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Otolaryngology |
| spelling | doaj-art-47b642b825144b8e834d3370fb2038462025-02-03T05:58:32ZengWileyCase Reports in Otolaryngology2090-67652090-67732013-01-01201310.1155/2013/796713796713Endoscopic Resection of Sinonasal Hemangiopericytoma following Preoperative Embolisation: A Case Report and Literature ReviewGeorg J. Ledderose0Donata Gellrich1Markus Holtmannspötter2Andreas Leunig3Department of Otorhinolaryngology, Head and Neck Surgery, Ludwig Maximilian University Munich, Marchioninistraße 15, 81377 Munich, GermanyDepartment of Otorhinolaryngology, Head and Neck Surgery, Ludwig Maximilian University Munich, Marchioninistraße 15, 81377 Munich, GermanyInstitute for Neuroradiology, Ludwig Maximilian University Munich, Marchioninistraße 15, 81377 Munich, GermanyDepartment of Otorhinolaryngology, Head and Neck Surgery, Ludwig Maximilian University Munich, Marchioninistraße 15, 81377 Munich, GermanyObjectives. Hemangiopericytoma is a rare tumor entity deriving from pericytes. Less than 5% of hemangiopericytoma occur in the nasal cavity and are characterised by a rather benign nature with low tendency of metastasis. However, as the recurrence rate in the literature ranges from 9.5% to 50%—depending on the length of followup—a radical surgical resection is considered as the gold-standard treatment. Only a few years ago, a wide external approach, usually via lateral rhinotomy or Caldwell-Luc, was performed. Endoscopic techniques were regarded as appropriate for small low-vascularised tumors only. Methods. We present the case of a 64-year-old patient with an extended sinonasal hemangiopericytoma, who was successfully treated by an endoscopic controlled endonasal tumor resection after embolisation with Onyx. Further, to support the new treatment option, we review the literature concerning all features of sinonasal hemangiopericytomas and their therapeutical management. Results/Conclusion. Onyx, which has not been described in the context of hemangiopericytoma yet, is a very effective embolic agent for a preoperative embolisation of sinonasal hemangiopericytoma allowing a safe endoscopic surgery.http://dx.doi.org/10.1155/2013/796713 |
| spellingShingle | Georg J. Ledderose Donata Gellrich Markus Holtmannspötter Andreas Leunig Endoscopic Resection of Sinonasal Hemangiopericytoma following Preoperative Embolisation: A Case Report and Literature Review Case Reports in Otolaryngology |
| title | Endoscopic Resection of Sinonasal Hemangiopericytoma following Preoperative Embolisation: A Case Report and Literature Review |
| title_full | Endoscopic Resection of Sinonasal Hemangiopericytoma following Preoperative Embolisation: A Case Report and Literature Review |
| title_fullStr | Endoscopic Resection of Sinonasal Hemangiopericytoma following Preoperative Embolisation: A Case Report and Literature Review |
| title_full_unstemmed | Endoscopic Resection of Sinonasal Hemangiopericytoma following Preoperative Embolisation: A Case Report and Literature Review |
| title_short | Endoscopic Resection of Sinonasal Hemangiopericytoma following Preoperative Embolisation: A Case Report and Literature Review |
| title_sort | endoscopic resection of sinonasal hemangiopericytoma following preoperative embolisation a case report and literature review |
| url | http://dx.doi.org/10.1155/2013/796713 |
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