Are bone erosion and peripheral feeding vessels hallmarks of intracranial solitary fibrous tumor/hemangiopericytoma?
An 86-year-old man sustained progressive motor weakness in the left lower extremity for 1 month. Cranial computed tomography (CT) revealed an isodense mass in the right parietal lobe, with a smooth-contoured focal erosion in the adjacent parietal bone. The extra-axial tumor appeared isointense on T1...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-08-01
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| Series: | Radiology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043322003387 |
| _version_ | 1811343383169335296 |
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| author | Hiroki Sugiyama, MD Satoshi Tsutsumi, MD Akane Hashizume, MD Toshihisa Inaba, RT Hisato Ishii, MD |
| author_facet | Hiroki Sugiyama, MD Satoshi Tsutsumi, MD Akane Hashizume, MD Toshihisa Inaba, RT Hisato Ishii, MD |
| author_sort | Hiroki Sugiyama, MD |
| collection | DOAJ |
| description | An 86-year-old man sustained progressive motor weakness in the left lower extremity for 1 month. Cranial computed tomography (CT) revealed an isodense mass in the right parietal lobe, with a smooth-contoured focal erosion in the adjacent parietal bone. The extra-axial tumor appeared isointense on T1- and hyperintense on T2-weighted magnetic resonance imaging with intense enhancement. On three-dimensional CT angiography, the ectatic left occipital artery coursed into the right parietal foramina and connected with a dilated meningeal vessel supplying the tumor. The focal erosion formed in the inner parietal bone was located adjacent to the feeding vessel. A total tumor resection was achieved. The microscopic findings of the resected specimen were consistent with a World Health Organization grade III hemangiopericytoma (HPC). Bone erosion and peripheral feeding vessels may be characteristic findings of intracranial solitary fibrous tumor (SFT)/HPC. Careful interpretation of neuroimages could help detect clues for distinguishing an SFT/HPC masquerading as a meningioma from a true meningioma. |
| first_indexed | 2024-04-13T19:28:22Z |
| format | Article |
| id | doaj.art-dbad6bef95b443529ae1d02d5a202485 |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-04-13T19:28:22Z |
| publishDate | 2022-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-dbad6bef95b443529ae1d02d5a2024852022-12-22T02:33:16ZengElsevierRadiology Case Reports1930-04332022-08-0117827022707Are bone erosion and peripheral feeding vessels hallmarks of intracranial solitary fibrous tumor/hemangiopericytoma?Hiroki Sugiyama, MD0Satoshi Tsutsumi, MD1Akane Hashizume, MD2Toshihisa Inaba, RT3Hisato Ishii, MD4Department of Neurological Surgery, Juntendo University Urayasu Hospital, Urayasu, Chiba, JapanDepartment of Neurological Surgery, Juntendo University Urayasu Hospital, Urayasu, Chiba, Japan; Corresponding author.Department of Pathology, Juntendo University Urayasu Hospital, Urayasu, Chiba, JapanDivision of Radiological Technology, Juntendo University Urayasu Hospital, Urayasu, Chiba, JapanDepartment of Neurological Surgery, Juntendo University Urayasu Hospital, Urayasu, Chiba, JapanAn 86-year-old man sustained progressive motor weakness in the left lower extremity for 1 month. Cranial computed tomography (CT) revealed an isodense mass in the right parietal lobe, with a smooth-contoured focal erosion in the adjacent parietal bone. The extra-axial tumor appeared isointense on T1- and hyperintense on T2-weighted magnetic resonance imaging with intense enhancement. On three-dimensional CT angiography, the ectatic left occipital artery coursed into the right parietal foramina and connected with a dilated meningeal vessel supplying the tumor. The focal erosion formed in the inner parietal bone was located adjacent to the feeding vessel. A total tumor resection was achieved. The microscopic findings of the resected specimen were consistent with a World Health Organization grade III hemangiopericytoma (HPC). Bone erosion and peripheral feeding vessels may be characteristic findings of intracranial solitary fibrous tumor (SFT)/HPC. Careful interpretation of neuroimages could help detect clues for distinguishing an SFT/HPC masquerading as a meningioma from a true meningioma.http://www.sciencedirect.com/science/article/pii/S1930043322003387Solitary fibrous tumor/hemangiopericytomaCerebral convexityBone erosionMimic meningioma |
| spellingShingle | Hiroki Sugiyama, MD Satoshi Tsutsumi, MD Akane Hashizume, MD Toshihisa Inaba, RT Hisato Ishii, MD Are bone erosion and peripheral feeding vessels hallmarks of intracranial solitary fibrous tumor/hemangiopericytoma? Radiology Case Reports Solitary fibrous tumor/hemangiopericytoma Cerebral convexity Bone erosion Mimic meningioma |
| title | Are bone erosion and peripheral feeding vessels hallmarks of intracranial solitary fibrous tumor/hemangiopericytoma? |
| title_full | Are bone erosion and peripheral feeding vessels hallmarks of intracranial solitary fibrous tumor/hemangiopericytoma? |
| title_fullStr | Are bone erosion and peripheral feeding vessels hallmarks of intracranial solitary fibrous tumor/hemangiopericytoma? |
| title_full_unstemmed | Are bone erosion and peripheral feeding vessels hallmarks of intracranial solitary fibrous tumor/hemangiopericytoma? |
| title_short | Are bone erosion and peripheral feeding vessels hallmarks of intracranial solitary fibrous tumor/hemangiopericytoma? |
| title_sort | are bone erosion and peripheral feeding vessels hallmarks of intracranial solitary fibrous tumor hemangiopericytoma |
| topic | Solitary fibrous tumor/hemangiopericytoma Cerebral convexity Bone erosion Mimic meningioma |
| url | http://www.sciencedirect.com/science/article/pii/S1930043322003387 |
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