Kanazawa T, Nishino H, Miyata M, Kuriki K, Abe K, Ichimura K
Departments of Otolaryngology-Head and Neck Surgery, Jichi Medical School, Tochigi, Japan.
J Laryngol Otol. 2001 Jan;115(1):77-9. doi: 10.1258/0022215011906894.
Haemangiopericytomas (HPCs) are rare vascular tumours that commonly involve the soft tissues of the trunk and lower extremities. In the head and neck, the most common sites are the nasal cavity and the paranasal sinuses, and unusually, the orbital region, the parotid gland, and the neck. We report a patient with HPC that originated in the infratemporal fossa and involved the pterygopalatine and the middle cranial fossae, apparently the first such case to be reported. Although the patient has undergone resection on three separate occasions, the tumour recurred. We then performed an extended resection using the infratemporal fossa approach type D. The patient has shown no recurrence in the past five years. Although histopathologic confirmation of this malignancy may be difficult, extensive resection remains the most effective treatment in such cases.
血管外皮细胞瘤（HPCs）是一种罕见的血管肿瘤，通常累及躯干和下肢的软组织。在头颈部，最常见的部位是鼻腔和鼻窦，不同寻常的是，还有眼眶区域、腮腺和颈部。我们报告了一例起源于颞下窝并累及翼腭窝和中颅窝的血管外皮细胞瘤患者，这显然是首例此类报道的病例。尽管该患者已接受了三次单独的切除术，但肿瘤仍复发。然后我们采用D型颞下窝入路进行了扩大切除术。该患者在过去五年中未出现复发。尽管对这种恶性肿瘤进行组织病理学确诊可能很困难，但广泛切除仍然是此类病例最有效的治疗方法。
