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Journal of Orthopaedic Science
Published in: Journal of Orthopaedic Science 5/2013

01-09-2013 | Case Report

Dumbbell-type hemangiopericytoma in the cervical spine: a case report and review

Authors: Hiroaki Nakashima, Shiro Imagama, Yoshito Sakai, Hiroshi Nakamura, Yoshito Katayama, Zenya Ito, Norimitsu Wakao, Yukihiro Matsuyama, Naoki Ishiguro

Published in: Journal of Orthopaedic Science | Issue 5/2013

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Excerpt

Hemangiopericytoma (HPC) is a highly vascularized mesenchymal tumor [1]. HPCs are mainly located in subcutaneous tissue and skeletal muscle, rarely within the central nervous system (CNS), and extremely rarely in the spinal canal [2‐4]. HPCs in the spinal canal are either extradural or intradural. To the best of our knowledge, there are no reports on dumbbell-type intra- to extradural and paravertebral HPC of the spinal cord. Moreover, our case was recurrent, but it was successfully managed by total tumor resection. A high rate of recurrence and metastasis in HPCs has been reported, and the clinical benefit from total tumor resection has been doubted by some surgeons [5, 6]. However, there is no established adjuvant therapy for HPCs, and we therefore opted for total tumor resection. Although the degree of surgical invasiveness was high, total tumor resection provided a recurrence-free period of 5 years after surgery. Here, we report a case of a rare form of cervical HPC, a dumbbell-type intra- to extradural and paravertebral tumor, and review the literature on treating HPCs in the spine. …
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Metadata
Title
Dumbbell-type hemangiopericytoma in the cervical spine: a case report and review
Authors
Hiroaki Nakashima
Shiro Imagama
Yoshito Sakai
Hiroshi Nakamura
Yoshito Katayama
Zenya Ito
Norimitsu Wakao
Yukihiro Matsuyama
Naoki Ishiguro
Publication date
01-09-2013
Publisher
Springer Japan
Published in
Journal of Orthopaedic Science / Issue 5/2013
Print ISSN: 0949-2658
Electronic ISSN: 1436-2023
DOI
https://doi.org/10.1007/s00776-012-0215-y

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