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Hemangiopericytoma of Head and Neck
Daniel E. Meltzer, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            TERMINOLOGY

            • Abbreviations

              • Hemangiopericytoma (HPC)
            • Definitions

              • Uncommon, slow-growing vascular neoplasm with variable degree of malignant potential
              • WHO 2016 created combined term solitary fibrous tumor (SFT)/HPC to describe spectrum of lesions

            IMAGING

            • General Features

              • CT Findings

                • MR Findings

                  • Angiographic Findings

                    DIFFERENTIAL DIAGNOSIS

                      PATHOLOGY

                      • General Features

                        • Staging, Grading, & Classification

                          • Microscopic Features

                            CLINICAL ISSUES

                            • Presentation

                              • Demographics

                                • Natural History & Prognosis

                                  • Treatment

                                    DIAGNOSTIC CHECKLIST

                                    • Consider

                                      Selected References

                                      1. He L et al: Signal value difference between white matter and tumor parenchyma in T1- and T2- weighted images may help differentiating solitary fibrous tumor/ hemangiopericytoma and angiomatous meningioma. Clin Neurol Neurosurg. 198:106221, 2020
                                      2. Suh CH et al: CT and MRI findings of glomangiopericytoma in the head and neck: case series study and systematic review. AJNR Am J Neuroradiol. 41(1):155-9, 2020
                                      3. Vanza B et al: Hemangiopericytoma of meningo-fronto-naso-orbito-maxillary complex. BMJ Case Rep. 13(10), 2020
                                      4. Smith SC et al: Solitary fibrous tumors of the head and neck: a multi-institutional clinicopathologic study. Am J Surg Pathol. 41(12):1642-56, 2017
                                      5. Louis DN et al: The 2016 World Health Organization classification of tumors of the central nervous system: a summary. Acta Neuropathol. 131(6):803-20, 2016
                                      6. Shaigany K et al: A population-based analysis of head and neck hemangiopericytoma. Laryngoscope. 126(3):643-50, 2016
                                      7. Wallace KM et al: Endovascular preoperative embolization of orbital hemangiopericytoma with n-butyl cyanoacrylate glue. Ophthal Plast Reconstr Surg. 30(4):e97-100, 2014
                                      8. Bignami M et al: Endoscopic, endonasal management of sinonasal haemangiopericytoma: 12-year experience. J Laryngol Otol. 124(11):1178-82, 2010
                                      9. Bonde VR et al: Two patients with intracavernous haemangiopericytoma. J Clin Neurosci. 16(2):330-3, 2009
                                      10. Hayashi Y et al: A reevaluation of the primary diagnosis of hemangiopericytoma and the clinical importance of differential diagnosis from solitary fibrous tumor of the central nervous system. Clin Neurol Neurosurg. 111(1):34-8, 2009
                                      11. Gengler C et al: Solitary fibrous tumour and haemangiopericytoma: evolution of a concept. Histopathology. 48(1):63-74, 2006
                                      12. Palacios E et al: Sinonasal hemangiopericytomas: clinicopathologic and imaging findings. Ear Nose Throat J. 84(2):99-102, 2005
                                      13. Akiyama M et al: Imaging intracranial haemangiopericytomas: study of seven cases. Neuroradiology. 46(3):194-7, 2004
                                      14. Thompson LD et al: Sinonasal-type hemangiopericytoma: a clinicopathologic and immunophenotypic analysis of 104 cases showing perivascular myoid differentiation. Am J Surg Pathol. 27(6):737-49, 2003
                                      15. Tihan T et al: Solitary fibrous tumors in the central nervous system. A clinicopathologic review of 18 cases and comparison to meningeal hemangiopericytomas. Arch Pathol Lab Med. 127(4):432-9, 2003
                                      16. Goldsmith JD et al: Orbital hemangiopericytoma and solitary fibrous tumor: a morphologic continuum. Int J Surg Pathol. 9(4):295-302, 2001
                                      17. Karcioglu ZA et al: Orbital hemangiopericytoma: clinical and morphologic features. Am J Ophthalmol. 124(5):661-72, 1997
                                      Related Anatomy
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                                      Related Differential Diagnoses
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                                      References
                                      Tables

                                      Tables

                                      KEY FACTS

                                      • Terminology

                                        • Imaging

                                          • Top Differential Diagnoses

                                            • Pathology

                                              • Clinical Issues

                                                TERMINOLOGY

                                                • Abbreviations

                                                  • Hemangiopericytoma (HPC)
                                                • Definitions

                                                  • Uncommon, slow-growing vascular neoplasm with variable degree of malignant potential
                                                  • WHO 2016 created combined term solitary fibrous tumor (SFT)/HPC to describe spectrum of lesions

                                                IMAGING

                                                • General Features

                                                  • CT Findings

                                                    • MR Findings

                                                      • Angiographic Findings

                                                        DIFFERENTIAL DIAGNOSIS

                                                          PATHOLOGY

                                                          • General Features

                                                            • Staging, Grading, & Classification

                                                              • Microscopic Features

                                                                CLINICAL ISSUES

                                                                • Presentation

                                                                  • Demographics

                                                                    • Natural History & Prognosis

                                                                      • Treatment

                                                                        DIAGNOSTIC CHECKLIST

                                                                        • Consider

                                                                          Selected References

                                                                          1. He L et al: Signal value difference between white matter and tumor parenchyma in T1- and T2- weighted images may help differentiating solitary fibrous tumor/ hemangiopericytoma and angiomatous meningioma. Clin Neurol Neurosurg. 198:106221, 2020
                                                                          2. Suh CH et al: CT and MRI findings of glomangiopericytoma in the head and neck: case series study and systematic review. AJNR Am J Neuroradiol. 41(1):155-9, 2020
                                                                          3. Vanza B et al: Hemangiopericytoma of meningo-fronto-naso-orbito-maxillary complex. BMJ Case Rep. 13(10), 2020
                                                                          4. Smith SC et al: Solitary fibrous tumors of the head and neck: a multi-institutional clinicopathologic study. Am J Surg Pathol. 41(12):1642-56, 2017
                                                                          5. Louis DN et al: The 2016 World Health Organization classification of tumors of the central nervous system: a summary. Acta Neuropathol. 131(6):803-20, 2016
                                                                          6. Shaigany K et al: A population-based analysis of head and neck hemangiopericytoma. Laryngoscope. 126(3):643-50, 2016
                                                                          7. Wallace KM et al: Endovascular preoperative embolization of orbital hemangiopericytoma with n-butyl cyanoacrylate glue. Ophthal Plast Reconstr Surg. 30(4):e97-100, 2014
                                                                          8. Bignami M et al: Endoscopic, endonasal management of sinonasal haemangiopericytoma: 12-year experience. J Laryngol Otol. 124(11):1178-82, 2010
                                                                          9. Bonde VR et al: Two patients with intracavernous haemangiopericytoma. J Clin Neurosci. 16(2):330-3, 2009
                                                                          10. Hayashi Y et al: A reevaluation of the primary diagnosis of hemangiopericytoma and the clinical importance of differential diagnosis from solitary fibrous tumor of the central nervous system. Clin Neurol Neurosurg. 111(1):34-8, 2009
                                                                          11. Gengler C et al: Solitary fibrous tumour and haemangiopericytoma: evolution of a concept. Histopathology. 48(1):63-74, 2006
                                                                          12. Palacios E et al: Sinonasal hemangiopericytomas: clinicopathologic and imaging findings. Ear Nose Throat J. 84(2):99-102, 2005
                                                                          13. Akiyama M et al: Imaging intracranial haemangiopericytomas: study of seven cases. Neuroradiology. 46(3):194-7, 2004
                                                                          14. Thompson LD et al: Sinonasal-type hemangiopericytoma: a clinicopathologic and immunophenotypic analysis of 104 cases showing perivascular myoid differentiation. Am J Surg Pathol. 27(6):737-49, 2003
                                                                          15. Tihan T et al: Solitary fibrous tumors in the central nervous system. A clinicopathologic review of 18 cases and comparison to meningeal hemangiopericytomas. Arch Pathol Lab Med. 127(4):432-9, 2003
                                                                          16. Goldsmith JD et al: Orbital hemangiopericytoma and solitary fibrous tumor: a morphologic continuum. Int J Surg Pathol. 9(4):295-302, 2001
                                                                          17. Karcioglu ZA et al: Orbital hemangiopericytoma: clinical and morphologic features. Am J Ophthalmol. 124(5):661-72, 1997