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TERMINOLOGY
Abbreviations
- Hemangiopericytoma (HPC), meningeal hemangiopericytoma, meningeal solitary fibrous tumor
Synonyms
- In older literature called "angioblastic meningioma," hemangiopericytic type
- New literature supports terms solitary fibrous tumor (SFT) or hemangiopericytoma (HPC)
Definitions
- Mesenchymal tumor of fibroblastic type, often with rich branching vascular pattern, including spectrum of tumors previously classified as meningeal SFT and HPC
- SFT/HPC of CNS nearly always attached to dura
- Occur in any region of body where capillaries are found
IMAGING
General Features
CT Findings
MR Findings
Angiographic Findings
Nuclear Medicine Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
- Chen T et al: Differentiating intracranial solitary fibrous tumor/hemangiopericytoma from meningioma using diffusion-weighted imaging and susceptibility-weighted imaging. Neuroradiology. 62(2):175-84, 2020
- He W et al: Whole-tumor histogram analysis of apparent diffusion coefficient in differentiating intracranial solitary fibrous tumor/hemangiopericytoma from angiomatous meningioma. Eur J Radiol. 112:186-91, 2019
- Koeller KK et al: Intradural extramedullary spinal neoplasms: radiologic-pathologic correlation. radiographics. 39(2):468-90, 2019
- Wang J et al: Solitary fibrous tumor/hemangiopericytoma of spinal cord: A retrospective single-center study of 16 cases. World Neurosurg. 123:e629-38, 2019
- Kinslow CJ et al: Solitary-fibrous tumor/hemangiopericytoma of the central nervous system: a population-based study. J Neurooncol. 138(1):173-82, 2018
- Ratneswaren T et al: Surveillance for metastatic hemangiopericytoma-solitary fibrous tumors-systematic literature review on incidence, predictors and diagnosis of extra-cranial disease. J Neurooncol. 138(3):447-67, 2018
- 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
- Louis DN et al: WHO Classification of Tumours of the Central Nervous System: Mesenchymal, non-meningothelial tumours. IARC Press. 248-54, 2016
- Nakada S et al: NAB2-STAT6 fusion gene analysis in two cases of meningeal solitary fibrous tumor/hemangiopericytoma with late distant metastases. Brain Tumor Pathol. ePub, 2015
- Damodaran O et al: Primary intracranial haemangiopericytoma: comparison of survival outcomes and metastatic potential in WHO grade II and III variants. J Clin Neurosci. 21(8):1310-4, 2014
- Ghose A et al: CNS hemangiopericytoma: A systematic review of 523 patients. Am J Clin Oncol. ePub, 2014
- Liu L et al: Comparison of ADC values of intracranial hemangiopericytomas and angiomatous and anaplastic meningiomas. J Neuroradiol. 41(3):188-94, 2014
- McHugh BJ et al: Intracranial infantile hemangiopericytoma. J Neurosurg Pediatr. 14(2):149-54, 2014
- Smith AB et al: From the radiologic pathology archives: mass lesions of the dura: beyond meningioma-radiologic-pathologic correlation. Radiographics. 34(2):295-312, 2014
- Sonabend AM et al: The role for adjuvant radiotherapy in the treatment of hemangiopericytoma: a Surveillance, Epidemiology, and End Results analysis. J Neurosurg. 120(2):300-8, 2014
- Liu G et al: Intracranial hemangiopericytoma: MR imaging findings and diagnostic usefulness of minimum ADC values. J Magn Reson Imaging. 38(5):1146-51, 2013
- Tian R et al: Clinical characteristics and prognostic analysis of recurrent hemangiopericytoma in the central nervous system: a review of 46 cases. J Neurooncol. 115(1):53-9, 2013
- Chernov MF et al: Possible role of single-voxel (1)H-MRS in differential diagnosis of suprasellar tumors. J Neurooncol. 91(2):191-8, 2009
- Fitzpatrick D et al: Intradural hemangiopericytoma of the lumbar spine: a rare entity. AJNR Am J Neuroradiol. 30(1):152-4, 2009
- 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
- Park MS et al: New insights into the hemangiopericytoma/solitary fibrous tumor spectrum of tumors. Curr Opin Oncol. 21(4):327-31, 2009
- Shi ZP et al: Multiple metastatic progression of meningeal hemangiopericytoma initially diagnosed as atypical meningioma with temporal bone invasion. Otolaryngol Head Neck Surg. 140(2):278-80, 2009
- Wu W et al: Hemangiopericytomas in the central nervous system. J Clin Neurosci. 16(4):519-23, 2009
- Chamberlain MC et al: Sequential salvage chemotherapy for recurrent intracranial hemangiopericytoma. Neurosurgery. 63(4):720-6; author reply 726-7, 2008
- Jalali R et al: Suprasellar haemangiopericytoma--challenges in diagnosis and treatment. Acta Neurochir (Wien). 150(1):67-71, 2008
- Mathews MS et al: Klippel-Trenaunay syndrome and cerebral haemangiopericytoma: a potential association. Acta Neurochir (Wien). 150(4):399-402; discussion 402, 2008
- Mekni A et al: Hemangiopericytoma in the central nervous system. A study of eight cases. Neurochirurgie. 54(1):15-20, 2008
- Scheithauer BW et al: The 2007 WHO classification of tumors of the nervous system: controversies in surgical neuropathology. Brain Pathol. 2008 Jul;18(3):307-16. Erratum in: Brain Pathol. 18(4):640, 2008
- Juco J et al: Hemangiopericytoma of the sella mimicking pituitary adenoma: case report and review of the literature. Clin Neuropathol. 26(6):288-93, 2007
- Sibtain NA et al: Imaging features of central nervous system haemangiopericytomas. Eur Radiol. 17(7):1685-93, 2007
- Lee JK et al: Spinal metastasis from cranial meningeal hemangiopericytomas. Acta Neurochir (Wien). 148(7):787-90, 2006
- Folpe AL et al: Most osteomalacia-associated mesenchymal tumors are a single histopathologic entity: an analysis of 32 cases and a comprehensive review of the literature. Am J Surg Pathol. 28(1):1-30, 2004
- Ecker RD et al: Hemangiopericytoma in the central nervous system: treatment, pathological features, and long-term follow up in 38 patients. J Neurosurg. 98(6):1182-7, 2003
- Kim JH et al: Meningeal hemangiopericytomas: long-term outcome and biological behavior. Surg Neurol. 59(1):47-53; discussion 53-4, 2003
- Burger PC et al: Surgical pathology of the nervous system and its coverings: Intracranial meninges. 4th ed. Philadelphia: Churchill Livingstone. 79-83, 2002
- Barba I et al: Magnetic resonance spectroscopy of brain hemangiopericytomas: high myoinositol concentrations and discrimination from meningiomas. J Neurosurg. 94(1):55-60, 2001
- Huisman TA et al: Meningeal hemangiopericytoma in childhood. Eur Radiol. 10(7):1073-5, 2000
- Kracht LW et al: Positron emission tomography in a case of intracranial hemangiopericytoma. J Comput Assist Tomogr. 23(3):365-8, 1999
- Spitz FR et al: Hemangiopericytoma: a 20-year single-institution experience. Ann Surg Oncol. 5(4):350-5, 1998
- Chiechi MV et al: Intracranial hemangiopericytomas: MR and CT features. AJNR Am J Neuroradiol. 17(7):1365-71, 1996
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References
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Tables
KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Pathology
Clinical Issues
Diagnostic Checklist
TERMINOLOGY
Abbreviations
- Hemangiopericytoma (HPC), meningeal hemangiopericytoma, meningeal solitary fibrous tumor
Synonyms
- In older literature called "angioblastic meningioma," hemangiopericytic type
- New literature supports terms solitary fibrous tumor (SFT) or hemangiopericytoma (HPC)
Definitions
- Mesenchymal tumor of fibroblastic type, often with rich branching vascular pattern, including spectrum of tumors previously classified as meningeal SFT and HPC
- SFT/HPC of CNS nearly always attached to dura
- Occur in any region of body where capillaries are found
IMAGING
General Features
CT Findings
MR Findings
Angiographic Findings
Nuclear Medicine Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
- Chen T et al: Differentiating intracranial solitary fibrous tumor/hemangiopericytoma from meningioma using diffusion-weighted imaging and susceptibility-weighted imaging. Neuroradiology. 62(2):175-84, 2020
- He W et al: Whole-tumor histogram analysis of apparent diffusion coefficient in differentiating intracranial solitary fibrous tumor/hemangiopericytoma from angiomatous meningioma. Eur J Radiol. 112:186-91, 2019
- Koeller KK et al: Intradural extramedullary spinal neoplasms: radiologic-pathologic correlation. radiographics. 39(2):468-90, 2019
- Wang J et al: Solitary fibrous tumor/hemangiopericytoma of spinal cord: A retrospective single-center study of 16 cases. World Neurosurg. 123:e629-38, 2019
- Kinslow CJ et al: Solitary-fibrous tumor/hemangiopericytoma of the central nervous system: a population-based study. J Neurooncol. 138(1):173-82, 2018
- Ratneswaren T et al: Surveillance for metastatic hemangiopericytoma-solitary fibrous tumors-systematic literature review on incidence, predictors and diagnosis of extra-cranial disease. J Neurooncol. 138(3):447-67, 2018
- 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
- Louis DN et al: WHO Classification of Tumours of the Central Nervous System: Mesenchymal, non-meningothelial tumours. IARC Press. 248-54, 2016
- Nakada S et al: NAB2-STAT6 fusion gene analysis in two cases of meningeal solitary fibrous tumor/hemangiopericytoma with late distant metastases. Brain Tumor Pathol. ePub, 2015
- Damodaran O et al: Primary intracranial haemangiopericytoma: comparison of survival outcomes and metastatic potential in WHO grade II and III variants. J Clin Neurosci. 21(8):1310-4, 2014
- Ghose A et al: CNS hemangiopericytoma: A systematic review of 523 patients. Am J Clin Oncol. ePub, 2014
- Liu L et al: Comparison of ADC values of intracranial hemangiopericytomas and angiomatous and anaplastic meningiomas. J Neuroradiol. 41(3):188-94, 2014
- McHugh BJ et al: Intracranial infantile hemangiopericytoma. J Neurosurg Pediatr. 14(2):149-54, 2014
- Smith AB et al: From the radiologic pathology archives: mass lesions of the dura: beyond meningioma-radiologic-pathologic correlation. Radiographics. 34(2):295-312, 2014
- Sonabend AM et al: The role for adjuvant radiotherapy in the treatment of hemangiopericytoma: a Surveillance, Epidemiology, and End Results analysis. J Neurosurg. 120(2):300-8, 2014
- Liu G et al: Intracranial hemangiopericytoma: MR imaging findings and diagnostic usefulness of minimum ADC values. J Magn Reson Imaging. 38(5):1146-51, 2013
- Tian R et al: Clinical characteristics and prognostic analysis of recurrent hemangiopericytoma in the central nervous system: a review of 46 cases. J Neurooncol. 115(1):53-9, 2013
- Chernov MF et al: Possible role of single-voxel (1)H-MRS in differential diagnosis of suprasellar tumors. J Neurooncol. 91(2):191-8, 2009
- Fitzpatrick D et al: Intradural hemangiopericytoma of the lumbar spine: a rare entity. AJNR Am J Neuroradiol. 30(1):152-4, 2009
- 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
- Park MS et al: New insights into the hemangiopericytoma/solitary fibrous tumor spectrum of tumors. Curr Opin Oncol. 21(4):327-31, 2009
- Shi ZP et al: Multiple metastatic progression of meningeal hemangiopericytoma initially diagnosed as atypical meningioma with temporal bone invasion. Otolaryngol Head Neck Surg. 140(2):278-80, 2009
- Wu W et al: Hemangiopericytomas in the central nervous system. J Clin Neurosci. 16(4):519-23, 2009
- Chamberlain MC et al: Sequential salvage chemotherapy for recurrent intracranial hemangiopericytoma. Neurosurgery. 63(4):720-6; author reply 726-7, 2008
- Jalali R et al: Suprasellar haemangiopericytoma--challenges in diagnosis and treatment. Acta Neurochir (Wien). 150(1):67-71, 2008
- Mathews MS et al: Klippel-Trenaunay syndrome and cerebral haemangiopericytoma: a potential association. Acta Neurochir (Wien). 150(4):399-402; discussion 402, 2008
- Mekni A et al: Hemangiopericytoma in the central nervous system. A study of eight cases. Neurochirurgie. 54(1):15-20, 2008
- Scheithauer BW et al: The 2007 WHO classification of tumors of the nervous system: controversies in surgical neuropathology. Brain Pathol. 2008 Jul;18(3):307-16. Erratum in: Brain Pathol. 18(4):640, 2008
- Juco J et al: Hemangiopericytoma of the sella mimicking pituitary adenoma: case report and review of the literature. Clin Neuropathol. 26(6):288-93, 2007
- Sibtain NA et al: Imaging features of central nervous system haemangiopericytomas. Eur Radiol. 17(7):1685-93, 2007
- Lee JK et al: Spinal metastasis from cranial meningeal hemangiopericytomas. Acta Neurochir (Wien). 148(7):787-90, 2006
- Folpe AL et al: Most osteomalacia-associated mesenchymal tumors are a single histopathologic entity: an analysis of 32 cases and a comprehensive review of the literature. Am J Surg Pathol. 28(1):1-30, 2004
- Ecker RD et al: Hemangiopericytoma in the central nervous system: treatment, pathological features, and long-term follow up in 38 patients. J Neurosurg. 98(6):1182-7, 2003
- Kim JH et al: Meningeal hemangiopericytomas: long-term outcome and biological behavior. Surg Neurol. 59(1):47-53; discussion 53-4, 2003
- Burger PC et al: Surgical pathology of the nervous system and its coverings: Intracranial meninges. 4th ed. Philadelphia: Churchill Livingstone. 79-83, 2002
- Barba I et al: Magnetic resonance spectroscopy of brain hemangiopericytomas: high myoinositol concentrations and discrimination from meningiomas. J Neurosurg. 94(1):55-60, 2001
- Huisman TA et al: Meningeal hemangiopericytoma in childhood. Eur Radiol. 10(7):1073-5, 2000
- Kracht LW et al: Positron emission tomography in a case of intracranial hemangiopericytoma. J Comput Assist Tomogr. 23(3):365-8, 1999
- Spitz FR et al: Hemangiopericytoma: a 20-year single-institution experience. Ann Surg Oncol. 5(4):350-5, 1998
- Chiechi MV et al: Intracranial hemangiopericytomas: MR and CT features. AJNR Am J Neuroradiol. 17(7):1365-71, 1996
