Volume 34, Issue 10 pp. 1492-1496
Original Article

Surgical management of sinonasal hemangiopericytomas: A case series

Fernando Gomez–Rivera MD

Fernando Gomez–Rivera MD

Department of Otorhinolaryngology, The University of Texas Health Science Center at Houston School of Medicine, Houston, Texas

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Samer Fakhri MD

Samer Fakhri MD

Department of Otorhinolaryngology, The University of Texas Health Science Center at Houston School of Medicine, Houston, Texas

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Michelle D. Williams MD

Michelle D. Williams MD

Department of Pathology, The University of Texas MD Anderson Cancer Center, Houston, Texas

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Ehab Y. Hanna MD

Ehab Y. Hanna MD

Department of Head and Neck Surgery, The University of Texas MD Anderson Cancer Center, Houston, Texas. E-mail: [email protected]

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Michael E. Kupferman MD

Corresponding Author

Michael E. Kupferman MD

Department of Head and Neck Surgery, The University of Texas MD Anderson Cancer Center, Houston, Texas. E-mail: [email protected]

Head and Neck Surgery, The University of Texas MD Anderson Cancer Center, Houston, TexasSearch for more papers by this author
First published: 22 October 2011
Citations: 7

Abstract

Background

Sinonasal hemangiopericytomas are rare low-grade sarcomas. The role of endoscopic management has not been adequately studied.

Methods

This study was conducted through retrospective medical chart review of patients seen with sinonasal hemangiopericytomas at 2 institutions over a 19-year period. Demographic, clinicopathological, and surgical information was analyzed with descriptive statistics.

Results

Thirteen patients with a diagnosis of sinonasal hemangiopericytomas were treated. The most common symptoms were obstruction (69%) and epistaxis (35%). All tumors were localized in the nasal cavity, and half had extension to 1 or more sinuses. Resection was performed endoscopically in 6 patients. Median intraoperative blood loss was 500 mL; median operative time was 165 minutes. Two patients received postoperative radiation. There were no recurrences with a median follow-up of 25 months. Three patients presented with recurrences, 2 local and 1 distant, up to 13 years after primary tumor removal.

Conclusion

Surgery for sinonasal hemangiopericytomas can be challenging; both endoscopic and open approaches may be used to treat these highly vascular tumors. © 2011 Wiley Periodicals, Inc. Head Neck, 2011

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