Pulmonary Hemangiopericytoma: A Case Report and Literature Review_Chinese Journal of Respiratory and Critical Care Medicine

Authors：

SHI Xiaoqian ¹ , ZANG Yuansheng ¹ , WANG Liangzhe ² , LI Bing ¹ , FANG Zheng. ¹

Department of Respiratory Medicine, Changzheng Hospital, Second Military Medical University. Shanghai, 200003, ChinaCorresponding Author: ZANG Yuan-sheng, E-mail: doctorzangys@ 163. com;

Corresponding author：

Keywords：

Hemangiopericytoma; Pulmonary tumor; Diagnosis

DOI：

DOI: 10 . 7507 /1671 -6205 . 20130113

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Objective To enhance the understanding of pulmonary hemangiopericytoma.
Methods With a case report and reviewing related literatures, the etiology, clinical manifestations, radiological features,pathological features, diagnosis, treatment and prognosis of pulmonary hemangiopericytoma were discussed.
Results The etiology of this rare disease remains unknown. Clinical symptoms are rare and non-specific.Radiological features show a round, homogeneous, soft-tissue mass without calcification. Pathologic feature reveals a large number of capillary lumen, and some tumors can be dressed with pseudo capsule or show infiltration growth to the surrounding tissue. The diagnosis of pulmonary hemangiopericytoma is mainly based on the imaging findings, and pathological examination is needed for final diagnosis. The best choice of treatment is surgery, combined with chemotherapy and radiotherapy.
Conclusions Pulmonary hemangiopericytoma is rare and often misdiagnosed as other pulmonary diseases. More attention should be paid to improve its therapeutic effect and prognosis.

Citation： SHI Xiaoqian,ZANG Yuansheng,WANG Liangzhe,LI Bing,FANG Zheng.. Pulmonary Hemangiopericytoma: A Case Report and Literature Review. Chinese Journal of Respiratory and Critical Care Medicine, 2013, 12(5): 468-471. doi: DOI: 10 . 7507 /1671 -6205 . 20130113 Copy

1.	Enzinger FM, Smith BH. Hemangiopericytoma: an analysis of 106 Cases. Hum Pathol, 1976 , 7: 61 -82 .
2.	Koscielny S, Brauer B, Forster G. Hemangiopericytoma: a rare head and neck tumor. Eur Arch Otorhinolamgol, 2003 , 260: 450-453.
3.	Stout AP, Murray MR. Hemangiopericytoma: a vascular tumor featuring Zimmermann’s pericytes. Ann Surg, 1942, 116: 26-33.
4.	王成林, 林贵, 主编. 罕见病少见病的诊断与治疗. 北京: 人民卫生出版社, 2000, 227-278 .
5.	Kown HJ, Browne GA, Posalaky IP, et al. Hemangiopericytoma of the tongue: report of case. J Am Dent Assoc, 1984, 109 : 583-585.
6.	HervéS, Abd Alsamad I, Beautru R, et al. Management of sinonasal hemangiopericytomas. Rhinology, 1999, 37: 153-158.
7.	Palacios E, Restrepo S, Mastroqiovanni L, et al. Sinonasal hemangiopericytomas: clinicopathologic and imaging findings. Ear Nose Throat J, 2005 , 84: 99-102 .
8.	Shin MS, Ho KJ. Primary hemangiopericytoma of lung: radiolography and pathology. Am J Roentgenol, 1979, 133:1077-1083.
9.	Yousem SA, Hochholzer L. Primary pulmonary hemangiopericytoma.Cancer, 1987 , 59 : 549-555.
10.	Katz DS, Lane MJ, Leung AN, et al. Primary malignant pulmonary hemangiopericytoma. Clin Imaging, 1998, 22: 192-195 .
11.	王建国, 郭佑民, 雷晓燕, 等. 肺血管外皮瘤的影像学诊断. 实用放射学杂志, 2002, 18: 462-463.
12.	潘同春, 雷连成, 刘礼义, 等. 肺部周围型良性肿瘤的影像学诊断. 医学临床研究, 2009, 26: 2318-2321 .
13.	张庆华, 胡春洪, 顾光官. 肺孤立性球形病变的64 层CT 灌注研究. 放射学实践, 2010, 25 : 1220 -1223 .
14.	王砚东, 王林南, 艾金霞. 肺原发恶性血管外皮细胞瘤一例. 中国胸心血管外科临床杂志, 2000, 7: 202 .
15.	范卿娣, 王德延, 主编. 肿瘤病理诊断学. 天津: 天津科学技术出版社, 1999, 337-340 .
16.	刘彤华, 主编. 诊断病理学. 北京: 人民卫生出版社, 1994 , 738 -742.
17.	黄志权, 陈伟良, 李劲松, 等. 头颈部血管外皮瘤: 1 例报道及文献复习. 中国口腔颌面外科杂志, 2004, 2: 305-308.
18.	刘世珍, 邓元明. 肺血管外皮细胞肉瘤1 例报告. 实用放射学杂志, 2000 , 16: 288 -288.
19.	范钦和, 主编. 组织病理学. 江西: 江西科学技术出版社, 2002 ,307-316.
20.	McMaster MJ, Soule EH, Lvins JC. Hemangiopericytoma: a clinicopathologic study and long-term followup of 60 patients.Cancer, 1975 , 36: 2232-2244.
21.	Yousem SA, Hochholzer L. Primary pulmonary hemangiopericytoma. Cancer, 1987, 59: 549-555.
22.	Ciappetta P, Celli P, Palma L, et al. Intraspinal hemangiopericytomas: report of two cases and review of the literature. Spine, 1985, 10: 27-31.
23.	Tong AK, La Hei ER, Currie B. Congenital pulmonary arteriovenous malformations. Pediatr Surg Int, 2002 , 18: 168 -170.
24.	Al-Qurashi M, Ghazal Y, Al Oufi S, et al. Diffuse pulmonary arteriovenous malformation: unusual cause of cyanosis in infancy.Ann Saudi Med, 2000, 20: 144-146 .

1. Enzinger FM, Smith BH. Hemangiopericytoma: an analysis of 106 Cases. Hum Pathol, 1976 , 7: 61 -82 .
2. Koscielny S, Brauer B, Forster G. Hemangiopericytoma: a rare head and neck tumor. Eur Arch Otorhinolamgol, 2003 , 260: 450-453.
3. Stout AP, Murray MR. Hemangiopericytoma: a vascular tumor featuring Zimmermann’s pericytes. Ann Surg, 1942, 116: 26-33.
4. 王成林, 林贵, 主编. 罕见病少见病的诊断与治疗. 北京: 人民卫生出版社, 2000, 227-278 .
5. Kown HJ, Browne GA, Posalaky IP, et al. Hemangiopericytoma of the tongue: report of case. J Am Dent Assoc, 1984, 109 : 583-585.
6. HervéS, Abd Alsamad I, Beautru R, et al. Management of sinonasal hemangiopericytomas. Rhinology, 1999, 37: 153-158.
7. Palacios E, Restrepo S, Mastroqiovanni L, et al. Sinonasal hemangiopericytomas: clinicopathologic and imaging findings. Ear Nose Throat J, 2005 , 84: 99-102 .
8. Shin MS, Ho KJ. Primary hemangiopericytoma of lung: radiolography and pathology. Am J Roentgenol, 1979, 133:1077-1083.
9. Yousem SA, Hochholzer L. Primary pulmonary hemangiopericytoma.Cancer, 1987 , 59 : 549-555.
10. Katz DS, Lane MJ, Leung AN, et al. Primary malignant pulmonary hemangiopericytoma. Clin Imaging, 1998, 22: 192-195 .
11. 王建国, 郭佑民, 雷晓燕, 等. 肺血管外皮瘤的影像学诊断. 实用放射学杂志, 2002, 18: 462-463.
12. 潘同春, 雷连成, 刘礼义, 等. 肺部周围型良性肿瘤的影像学诊断. 医学临床研究, 2009, 26: 2318-2321 .
13. 张庆华, 胡春洪, 顾光官. 肺孤立性球形病变的64 层CT 灌注研究. 放射学实践, 2010, 25 : 1220 -1223 .
14. 王砚东, 王林南, 艾金霞. 肺原发恶性血管外皮细胞瘤一例. 中国胸心血管外科临床杂志, 2000, 7: 202 .
15. 范卿娣, 王德延, 主编. 肿瘤病理诊断学. 天津: 天津科学技术出版社, 1999, 337-340 .
16. 刘彤华, 主编. 诊断病理学. 北京: 人民卫生出版社, 1994 , 738 -742.
17. 黄志权, 陈伟良, 李劲松, 等. 头颈部血管外皮瘤: 1 例报道及文献复习. 中国口腔颌面外科杂志, 2004, 2: 305-308.
18. 刘世珍, 邓元明. 肺血管外皮细胞肉瘤1 例报告. 实用放射学杂志, 2000 , 16: 288 -288.
19. 范钦和, 主编. 组织病理学. 江西: 江西科学技术出版社, 2002 ,307-316.
20. McMaster MJ, Soule EH, Lvins JC. Hemangiopericytoma: a clinicopathologic study and long-term followup of 60 patients.Cancer, 1975 , 36: 2232-2244.
21. Yousem SA, Hochholzer L. Primary pulmonary hemangiopericytoma. Cancer, 1987, 59: 549-555.
22. Ciappetta P, Celli P, Palma L, et al. Intraspinal hemangiopericytomas: report of two cases and review of the literature. Spine, 1985, 10: 27-31.
23. Tong AK, La Hei ER, Currie B. Congenital pulmonary arteriovenous malformations. Pediatr Surg Int, 2002 , 18: 168 -170.
24. Al-Qurashi M, Ghazal Y, Al Oufi S, et al. Diffuse pulmonary arteriovenous malformation: unusual cause of cyanosis in infancy.Ann Saudi Med, 2000, 20: 144-146 .

Chinese Journal of Respiratory and Critical Care Medicine

Pulmonary Hemangiopericytoma: A Case Report and Literature Review

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