Sacral hemangiopericytoma involving the retrorectal space: Report of a case
A primary hemangiopericytoma (HP) of the bone is rare, because the vast majority of these tumors arise in soft tissue. This report presents a case of a hemangiopericytoma in the sacrum (S1–S2) with extension to the retrorectal space. Only a few cases of osseous hemangiopericytomas in the sacrum and...
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| Veröffentlicht in: | Surgery today (Tokyo, Japan) Japan), 2009-04, Vol.39 (4), p.344-348 |
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| creator | Zentar, Aziz Sall, Ibrahima Ali, Abdelmounaim Ait Bouchentouf, Sidi Mohammed Quamous, Mohammed Chahdi, Hafsa Hajjouji, Abderahmane Fahssi, Mohammed El Kaoui, Hakim Al Bouzidi, Abderahmane Marjani, Mohammed Sair, Khalid Bousselmame, Nabil |
| description | A primary hemangiopericytoma (HP) of the bone is rare, because the vast majority of these tumors arise in soft tissue. This report presents a case of a hemangiopericytoma in the sacrum (S1–S2) with extension to the retrorectal space. Only a few cases of osseous hemangiopericytomas in the sacrum and involving the retrorectal space have so far been reported. The difficult diagnosis of HP and the surgical strategy was chosen according to the location of the lesion in the sacrum and retrorectal space. A local excision was indicated. A sacral resection should be considered for tumors below S4. This report demonstrated the safety of this strategy. Adjuvant radiotherapy is useful in HP. The value of chemotherapy is still doubtful, although patients with high-grade tumors or metastatic spread seem to gain substantial benefit. Due to the often unpredictable behavior of this neoplasm, extended follow-up is strongly recommended. |
| doi_str_mv | 10.1007/s00595-008-3859-7 |
| format | Article |
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This report presents a case of a hemangiopericytoma in the sacrum (S1–S2) with extension to the retrorectal space. Only a few cases of osseous hemangiopericytomas in the sacrum and involving the retrorectal space have so far been reported. The difficult diagnosis of HP and the surgical strategy was chosen according to the location of the lesion in the sacrum and retrorectal space. A local excision was indicated. A sacral resection should be considered for tumors below S4. This report demonstrated the safety of this strategy. Adjuvant radiotherapy is useful in HP. The value of chemotherapy is still doubtful, although patients with high-grade tumors or metastatic spread seem to gain substantial benefit. 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This report presents a case of a hemangiopericytoma in the sacrum (S1–S2) with extension to the retrorectal space. Only a few cases of osseous hemangiopericytomas in the sacrum and involving the retrorectal space have so far been reported. The difficult diagnosis of HP and the surgical strategy was chosen according to the location of the lesion in the sacrum and retrorectal space. A local excision was indicated. A sacral resection should be considered for tumors below S4. This report demonstrated the safety of this strategy. Adjuvant radiotherapy is useful in HP. The value of chemotherapy is still doubtful, although patients with high-grade tumors or metastatic spread seem to gain substantial benefit. Due to the often unpredictable behavior of this neoplasm, extended follow-up is strongly recommended.</description><subject>Adult</subject><subject>Biopsy</subject><subject>Case Report</subject><subject>Diagnosis, Differential</subject><subject>Female</subject><subject>Hemangiopericytoma - diagnosis</subject><subject>Hemangiopericytoma - surgery</subject><subject>Humans</subject><subject>Magnetic Resonance Imaging</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Radiotherapy, Adjuvant</subject><subject>Sacrum - pathology</subject><subject>Sacrum - surgery</subject><subject>Spinal Neoplasms - diagnosis</subject><subject>Spinal Neoplasms - surgery</subject><subject>Surgery</subject><subject>Surgical Oncology</subject><subject>Tomography, X-Ray Computed</subject><issn>0941-1291</issn><issn>1436-2813</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1Lw0AQhhdRbK3-AC-Sk7fofmQ3WW8ifmFB8OO8bCaTNiXJxt2k0H9vSgrePA3MPO8L8xByyegNozS9DZRKLWNKs1hkUsfpEZmzRKiYZ0wckznVCYsZ12xGzkLYUMqTjNJTMmNaMK0SOSdvnxa8raM1NrZdVa5DX8Gud42Nqnbr6m3VrqJ-jZHH3juP0I9w6CzgXfSBnfN95MrIRmADnpOT0tYBLw5zQb6fHr8eXuLl-_Prw_0yBqFlH0POQQDnSgklMwmqAFFiDrbgkrO8sKnIEDFPMzluRVlIKCC3KucFZIBSLMj11Nt59zNg6E1TBcC6ti26IRiVUqUpUyPIJhC8C8FjaTpfNdbvDKNmb9BMBs1o0OwNmnTMXB3Kh7zB4i9xUDYCfALCeGpX6M3GDb4dH_6n9Rf7xn3_</recordid><startdate>20090401</startdate><enddate>20090401</enddate><creator>Zentar, Aziz</creator><creator>Sall, Ibrahima</creator><creator>Ali, Abdelmounaim Ait</creator><creator>Bouchentouf, Sidi Mohammed</creator><creator>Quamous, Mohammed</creator><creator>Chahdi, Hafsa</creator><creator>Hajjouji, Abderahmane</creator><creator>Fahssi, Mohammed</creator><creator>El Kaoui, Hakim</creator><creator>Al Bouzidi, Abderahmane</creator><creator>Marjani, Mohammed</creator><creator>Sair, Khalid</creator><creator>Bousselmame, Nabil</creator><general>Springer Japan</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20090401</creationdate><title>Sacral hemangiopericytoma involving the retrorectal space: Report of a case</title><author>Zentar, Aziz ; 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| subjects | Adult Biopsy Case Report Diagnosis, Differential Female Hemangiopericytoma - diagnosis Hemangiopericytoma - surgery Humans Magnetic Resonance Imaging Medicine Medicine & Public Health Radiotherapy, Adjuvant Sacrum - pathology Sacrum - surgery Spinal Neoplasms - diagnosis Spinal Neoplasms - surgery Surgery Surgical Oncology Tomography, X-Ray Computed |
| title | Sacral hemangiopericytoma involving the retrorectal space: Report of a case |
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