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An Orbital Hemangiopericytoma Recurrent After 33 Years

An Orbital Hemangiopericytoma Recurrent After 33 Years Abstract • A middle-aged woman developed a recurrent orbital hemangiopericytoma 33 years following its initial removal. Preoperative computed tomographic and magnetic resonance imaging scans revealed a well-circumscribed superotemporal orbital mass. A tumor that appeared grossly encapsulated was removed intact via a lateral orbitotomy. Histopathological examination showed a hemangiopericytoma with hypercellularity and a moderate number of mitotic figures. A review of the initial pathologic report confirmed the diagnosis of hemangiopericytoma with histological features similar to those of the recurrent mass. To our knowledge, this case represents the longest reported interval to recurrence of any hemangiopericytoma and demonstrates the extended follow-up needed in patients with hemangiopericytoma. References 1. Stout AP, Murray MR: Hemangiopericytoma: A vascular tumor featuring Zimmerman's pericytes . Ann Surg 1942;166:26-33.Crossref 2. Stout AP: Hemangiopericytoma: A study of 25 new cases . Cancer 1949;2:1027-1035.Crossref 3. Enzinger FM: Hemangiopericytoma, in Enzinger FM , Weiss SW (eds): Soft Tissue Tumors . St Louis, CV Mosby Co, 1983, pp 463-481. 4. Enzinger FM, Smith BH: Hemangiopericytoma: An analysis of 106 cases . Hum Pathol 1976;7:61-82.Crossref 5. Goodman SA: Hemangiopericytoma of the orbit . Am J Ophthalmol 1955;40:237-243. 6. Fox SA: Hemangiopericytoma of the orbit . Am J Ophthalmol 1955;40:786-789. 7. Henderson JW, Farrow GM: Primary orbital hemangiopericytoma: An aggressive and potentially malignant neoplasm . Arch Ophthalmol 1978;96:666-673.Crossref 8. Croxatto JO, Font RL: Hemangiopericytoma of the orbit: A clinicopathologic study of 30 cases . Hum Pathol 1982;13:210-218.Crossref 9. Jakobiec FA, Howard GM, Jones IS, et al: Hemangiopericytoma of the orbit . Am J Ophthalmol 1974;78:816-834. 10. Searl S, Ni C: Hemangiopericytoma . Int Ophthalmol Clin 1982;22:141-162.Crossref 11. Haney RF: Hemangiopericytoma of the orbit . Arch Ophthalmol 1964;71:206-208.Crossref 12. Kapoor S, Kapoor MS, Aurora AL, et al: Orbital hemangiopericytoma: A report of a 3-year-old child . J Pediatr Ophthalmol Strabismus 1978;15:40-42. 13. Boniuk M, Messmer EP, Font R: Hemangiopericytoma of the meninges of the optic nerve: A clinicopathologic report including electron microscopic observations . Ophthalmology 1985;92:1780-1787.Crossref 14. Brown DN, MacCarty CS, Soule EH: Orbital hemangiopericytoma: A review of literature and report of four cases . J Neurosurg 1965;22:354-361.Crossref 15. Gurney N, Chalkley T, O'Grady R: Lacrimal sac hemangiopericytoma . Am J Ophthalmol 1971;71:757-759. 16. Garrity JA, Kennerdell JS: Orbital calcification associated with hemangiopericytoma . Am J Ophthalmol 1986;102:126. 17. Macoul KL: Hemangiopericytoma of the lid and orbit . Am J Ophthalmol 1968;66:731-733. 18. Heckman K: Beitrag zur Pathologie seltener Angiosarkome der Orbita: Hämangioperizytom und Hämangioendothelion . Ophthalmologica 1973;166:36-47.Crossref 19. Spaeth EB, Valdes-Dapena A: Hemangiopericytoma . Arch Ophthalmol 1958;60:1070-1073.Crossref 20. Panda A, Dayal Y, Singhal V, et al: Haemangiopericytoma . Br J Ophthalmol 1984;68:124-127.Crossref 21. Setzkorn RK, Ding-Jen L, Iliff NT, et al: Hemangiopericytoma of the orbit treated with conservative surgery and radiotherapy . Arch Ophthalmol 1987;105:1103-1105.Crossref 22. Ruchman MC, Flanagan J: Cavernous hemangiomas of the orbit . Ophthalmology 1983;90:1328-1336.Crossref 23. Schirger A, Vihlein A, Parker HL, et al: Hemangiopericytoma recurring after 26 years . Mayo Clin Proc 1958;33:347-352. 24. Mira JG, Chu KCH, Fortner JG: The role of radiotherapy in the management of malignant hemangiopericytoma . Cancer 1977;39:1254-1259.Crossref 25. Hufnagel T, Ma L, Kuo T: Orbital angiosarcoma with subconjunctival presentation: Report of a case and literature review . Ophthalmology 1987;94:72-77.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

An Orbital Hemangiopericytoma Recurrent After 33 Years

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References (25)

Publisher
American Medical Association
Copyright
Copyright © 1989 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1989.01070010566033
Publisher site
See Article on Publisher Site

Abstract

Abstract • A middle-aged woman developed a recurrent orbital hemangiopericytoma 33 years following its initial removal. Preoperative computed tomographic and magnetic resonance imaging scans revealed a well-circumscribed superotemporal orbital mass. A tumor that appeared grossly encapsulated was removed intact via a lateral orbitotomy. Histopathological examination showed a hemangiopericytoma with hypercellularity and a moderate number of mitotic figures. A review of the initial pathologic report confirmed the diagnosis of hemangiopericytoma with histological features similar to those of the recurrent mass. To our knowledge, this case represents the longest reported interval to recurrence of any hemangiopericytoma and demonstrates the extended follow-up needed in patients with hemangiopericytoma. References 1. Stout AP, Murray MR: Hemangiopericytoma: A vascular tumor featuring Zimmerman's pericytes . Ann Surg 1942;166:26-33.Crossref 2. Stout AP: Hemangiopericytoma: A study of 25 new cases . Cancer 1949;2:1027-1035.Crossref 3. Enzinger FM: Hemangiopericytoma, in Enzinger FM , Weiss SW (eds): Soft Tissue Tumors . St Louis, CV Mosby Co, 1983, pp 463-481. 4. Enzinger FM, Smith BH: Hemangiopericytoma: An analysis of 106 cases . Hum Pathol 1976;7:61-82.Crossref 5. Goodman SA: Hemangiopericytoma of the orbit . Am J Ophthalmol 1955;40:237-243. 6. Fox SA: Hemangiopericytoma of the orbit . Am J Ophthalmol 1955;40:786-789. 7. Henderson JW, Farrow GM: Primary orbital hemangiopericytoma: An aggressive and potentially malignant neoplasm . Arch Ophthalmol 1978;96:666-673.Crossref 8. Croxatto JO, Font RL: Hemangiopericytoma of the orbit: A clinicopathologic study of 30 cases . Hum Pathol 1982;13:210-218.Crossref 9. Jakobiec FA, Howard GM, Jones IS, et al: Hemangiopericytoma of the orbit . Am J Ophthalmol 1974;78:816-834. 10. Searl S, Ni C: Hemangiopericytoma . Int Ophthalmol Clin 1982;22:141-162.Crossref 11. Haney RF: Hemangiopericytoma of the orbit . Arch Ophthalmol 1964;71:206-208.Crossref 12. Kapoor S, Kapoor MS, Aurora AL, et al: Orbital hemangiopericytoma: A report of a 3-year-old child . J Pediatr Ophthalmol Strabismus 1978;15:40-42. 13. Boniuk M, Messmer EP, Font R: Hemangiopericytoma of the meninges of the optic nerve: A clinicopathologic report including electron microscopic observations . Ophthalmology 1985;92:1780-1787.Crossref 14. Brown DN, MacCarty CS, Soule EH: Orbital hemangiopericytoma: A review of literature and report of four cases . J Neurosurg 1965;22:354-361.Crossref 15. Gurney N, Chalkley T, O'Grady R: Lacrimal sac hemangiopericytoma . Am J Ophthalmol 1971;71:757-759. 16. Garrity JA, Kennerdell JS: Orbital calcification associated with hemangiopericytoma . Am J Ophthalmol 1986;102:126. 17. Macoul KL: Hemangiopericytoma of the lid and orbit . Am J Ophthalmol 1968;66:731-733. 18. Heckman K: Beitrag zur Pathologie seltener Angiosarkome der Orbita: Hämangioperizytom und Hämangioendothelion . Ophthalmologica 1973;166:36-47.Crossref 19. Spaeth EB, Valdes-Dapena A: Hemangiopericytoma . Arch Ophthalmol 1958;60:1070-1073.Crossref 20. Panda A, Dayal Y, Singhal V, et al: Haemangiopericytoma . Br J Ophthalmol 1984;68:124-127.Crossref 21. Setzkorn RK, Ding-Jen L, Iliff NT, et al: Hemangiopericytoma of the orbit treated with conservative surgery and radiotherapy . Arch Ophthalmol 1987;105:1103-1105.Crossref 22. Ruchman MC, Flanagan J: Cavernous hemangiomas of the orbit . Ophthalmology 1983;90:1328-1336.Crossref 23. Schirger A, Vihlein A, Parker HL, et al: Hemangiopericytoma recurring after 26 years . Mayo Clin Proc 1958;33:347-352. 24. Mira JG, Chu KCH, Fortner JG: The role of radiotherapy in the management of malignant hemangiopericytoma . Cancer 1977;39:1254-1259.Crossref 25. Hufnagel T, Ma L, Kuo T: Orbital angiosarcoma with subconjunctival presentation: Report of a case and literature review . Ophthalmology 1987;94:72-77.Crossref

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Apr 1, 1989

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