Outcome of Epidural Hematoma: Lessons from Solitary Fibrous Tumor/Hemangiopericytoma

Autor: Jianhao Lin, Guilu He, Jing Ye, Yehai Li, Xiuming Zhou, Liang Zhang, Fobao Huang, Rui-rui Yun, Qiao Li
Rok vydání: 2020
Předmět:
Zdroj: World Neurosurgery. 143:168-170
ISSN: 1878-8750
DOI: 10.1016/j.wneu.2020.07.168
Popis: Background Intracranial solitary fibrous tumor (SFT)/hemangiopericytoma (HPC) is rare. In this report, a case of epidural hematoma (EDH) that eventually evolved into SFT/HPC is presented. We describe the possible association between the 2 diseases, which has not been previously reported. Case Description A 40-year-old man suffered from an EDH in the right parietal area 12 years ago and accepted conservative treatment. Follow-up computed tomography (CT) scan shows that the density of the right EDH gradually changed from uniform slightly lower density to mixed density. A new CT scan revealed an epidural mass extending to the subcutaneous with local bone destruction. An operation was performed via a large right parietal craniotomy, and the final diagnosis was World Health Organization grade III SFT/HPC after histopathologic examination and immunohistochemical verification. The patient died of deterioration of brain disease 3 months after the final diagnosis. Conclusions To our knowledge, this is the first report that HPC occurred in the epidural cavity. We are the first time to describe the possible association between EDH and HPC.
Databáze: OpenAIRE