Large haemangiopericytoma of the posterior cervical space. The role of imaging and therapeutic embolisation in the management of an unsuspected hypervascular head and neck neoplasm.

Autor: Horky JK; Interventional Neuroradiology Service, Department of Diagnostic Radiology, Section of Neurosurgery, Department of Surgery, Section of Otolaryngology, Department of Surgery, Yale University School of Medicine; New Haven, CT, USA., Chaloupka JC, Putman CM, Roth TC, Sasaki CT
Jazyk: angličtina
Zdroj: Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences [Interv Neuroradiol] 1997 Jun 30; Vol. 3 (2), pp. 155-60. Date of Electronic Publication: 2001 May 15.
DOI: 10.1177/159101999700300207
Abstrakt: Summary: We report a case of a 39-year old woman who upon developing a rapidly enlarging posterior cervical space tumour, underwent incisional biopsy prior to diagnostic imaging that resulted in nearly catastrophic haemorrhage. Subsequently, MR imaging showed evidence of marked hypervascularity, prompting diagnostic angiography and endovascular microembolization prior to surgical resection. The tumour turned out to be a large haemangiopericytoma arising from the paravertebral musculature. The case is instructive by highlighting the need for considering rare locations of hypervascular tumours in the head and neck region before attempting biopsy, which can be predicted by cross-sectional imaging studies, and the benefits of pre-operative devascularization with modern superselective microembolisation techniques.
Databáze: MEDLINE