J Korean Med Sci.  2005 Apr;20(2):316-318. 10.3346/jkms.2005.20.2.316.

Preoperative Embolization in Surgical Treatment of a Primary Hemangiopericytoma of the Rib: A Case Report

• Findik S
• Akan H
• Baris S
• Atici AG
• Uzun O
• Erkan L

• KMID: 1095211
• DOI: http://doi.org/10.3346/jkms.2005.20.2.316

Abstract

Primary hemangiopericytoma of the rib is extremely rare and only a few cases have been reported. A 62-yr-old man presented with an aching chest pain and dyspnea. Thoracic computed tomography revealed a homogenous mass expanding the right seventh rib. A diagnosis of hemangiopericytoma was established by percutaneous needle biopsy. Preoperative embolization of the feeding vessels of the tumor was performed in order to prevent perioperative bleeding. There was no significant bleeding during the surgery, where complete resection of the tumor with 7th to 9th ribs with a surgical margin of 5 cm was performed. Postoperative course was uneventful and there has been no recurrence for thirteen months. To our knowledge, there has been no report to apply a preoperative embolization of a primary hemangiopericytoma of the rib.

Keyword

Hemangiopericytoma; Rib; Embolization, Therapeutic; Tomography, X-ray Computed

MeSH Terms

Bone Neoplasms/pathology/radiography/*surgery
*Embolization, Therapeutic
Hemangiopericytoma/pathology/radiography/*surgery
Humans
Male
Middle Aged
*Ribs
Tomography, X-Ray Computed

Figure

• 

  Fig. 1 Computed tomographic (CT) scan of thorax demonstrates a homogeneous mass expanding the right seventh rib and invading into the adjacent lung, and also a right sided pleural effusion.

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  Fig. 2 Preoperative angiography shows hypervascularization of the tumor from the right 7th and 8th intercostal arteries.

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  Fig. 3 Microscopic evaluation of the tumor reveals a solid mesencymal mass composed of indistinct fusiform to rounded cells arranged around slit-like and branching thin-walled vessels (Hematoxylin-Eosin, ×120).

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