Cole Chad D, Schmidt Meic H
Department of Neurological Surgery, University of Utah, Salt Lake City, Utah;
Rare Tumors. 2009 Dec 28;1(2):e43. doi: 10.4081/rt.2009.e43.
We describe a rare case of a primary intracranial meningeal hemangiopericytoma (HPC) with late metastasis to the cervical spine. A 36-year-old woman had a left occipital lesion that was histopathologically identified as HPC. Fourteen years after resection, the tumor recurred and was treated with radiotherapy. Three years later, CT imaging showed a large mass in the liver consistent with metastatic HPC, and MRI of the cervical spine showed an extensive lesion of the C3 vertebral body. The patient underwent C3 corpectomy with en-bloc tumor removal and follow-up radiation with no local recurrence or other spinal metastasis for the following 4 years. Regardless of the subtype of spinal HPC, complete surgical removal and radiotherapy appear to be treatment of choice.
我们描述了一例罕见的原发性颅内脑膜血管外皮细胞瘤（HPC）发生颈椎晚期转移的病例。一名36岁女性有一个左枕部病变，经组织病理学确诊为HPC。切除术后14年，肿瘤复发并接受了放射治疗。三年后，CT成像显示肝脏有一个与转移性HPC相符的大肿块，颈椎MRI显示C3椎体有广泛病变。患者接受了C3椎体次全切除并整块切除肿瘤，随后进行了放射治疗，在接下来的4年里没有局部复发或其他脊柱转移。无论脊柱HPC的亚型如何，完整的手术切除和放射治疗似乎都是首选的治疗方法。
