2021, Number 4
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Rev Fac Med UNAM 2021; 64 (4)
Malignant hemangiopericytoma: a case report and literature review
Díaz EMA, López CNR, Juárez AFG, Díaz EJI
Language: Spanish
References: 14
Page: 31-38
PDF size: 625.30 Kb.
ABSTRACT
Hemangiopericytoma is a rare tumor of the central nervous
system with varying degrees of malignancy and poor prognosis.
According to the WHO classification, these lesions can
be classified as grade I (benign), grade II (slow-growing tumors,
some with a tendency to progress to more malignancy)
and grade III or anaplastic (infiltrating tumors with anaplastic
cells and a greater number of mitosis), the latter with a higher
recurrence rate and metastatic capacity.
Histologically they are characterized by having a compact
spindle cell component and a branched stromal vascular
pattern in the shape of a “deer horn”.
The clinical picture varies according to its location and
size, the most frequent signs and symptoms are seizures,
headache and focal neurological deficit.
The initial diagnostic approach is computed tomography
that provides suspicious data, however, magnetic resonance
imaging is the main diagnosis, since it provides important
data that becomes more important with the use of functional
sequences such as tractography.
We present the report of a clinical case with literature review
and the most significant findings in imaging studies.
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