A case study of recurrent hemagiopericytoma of the left lung

Van Tan, Van Hung Dung, Nguyen Van Viet Thanh, Doan Hung Dung, Duong Thanh Hai

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Tóm tắt

Hemangiopericytoma is a rare disease. We report the first case presented with such disease at our hospital. The patient was first diagnosed with is vascular tumour 10 years ago and was discharged without chemotherapy. The patient was recently hospitalised due to tumour recurrence. The patient was Mrs. Tran Thi Kim H, was born in 1970, married, had 4 children, and was a farmer. The patient lived at An thoi Đong, Can Gio district, and was admitted on 26/9/2019 due to a recurrent left lung tumour. The patient suffered from headache and vertigo in the past 2 years and she underwent surgical removal of a lung tumour 10 years ago at Binh Dan Hospital. Physical examination was normal. Laboratory results were within normal range, except a mild anaemia. We had planned to use thoracoscopy but after general anaesthesia, the left lung could not be deflated and therefore the surgery was postponed. A week after, we attempted to use thoracotomy. We observed a tumour that adhered to the thoracic wall and to the left lung. We dissected the adhesion and removed the tumour, haemostasis was achieved by suturing with a Vicryl 3.0 stitch. The surgical incision was closed and a chest drainage was placed. Post-operative follow-up was uneventful and the patient stayed in the hospital for 15 days. Pathological studies: Biopsy with MSCT guidance revealed a diagnosis of undifferentiated non-small cell lung cancer; surgical biopsy showed that this was a lymphocyte with big cell tumour. Finally, the diagnosis of lung hemangiopericytoma was confirmed by immunohistochemistry. Whether chemotherapy should be indicated for this patient is being considered. 

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Tài liệu tham khảo

1. Barjas R,Piccioni DE Malignant hemangiopericytoma: Treatment patterns and survival. J Clinical Oncology 35, no. 15_suppl. DOI: 10.1200/JCO.2017.35.15_suppl.e13520.
2- Briselli M, Mark EJ, Dikerson GR: Solitaty fibrous tumor of the pleura, eight new cases and review of 360 cases in the literature. Cancer 1981; 47:2678-2689.
3- Chnaris A, Barberaki N, Efstarhieu A et al: Primary mediastinal hemangiopericytoma. World J Surg Oncol 2006, 4-23.
4- Damodaran O, Robbins P, Knuckey et al: Primary intracranien hemangiopericytoma, comparison of survival outcomes and metastatic potential in WHO grade II and III variants. J Clin Neurosci 21:1310-1314, 2014 .
5- Fuijita A, Minase T, Takabatake H et al: A case of primary malignant hemangiopericytoma of the lung with marked response in combination chemotherapy with cisplatin, ifosfamide and gentamycine Japanese J Cancer and Chemotherapy, 2001; 28:373-376.
6- Fletcher CDM: Diagnosis histopatology of tumor. 2nd ed London, UK Churchill Livingstone, 2000:77-80.
7-Enzinger FM, Smith BH: Hemangiomapericytoma. An analysis of 106 cases. Hum pathol 1976, 7:61-82 .
8- Gengler C, Guillon I.: Solitary fibrous tumor and hemangiopericytoma evolution of a concept. Histopathology 2006; 48:63-74.
9- Guthrie BL, Ebersold MJ, Scheithauer BW et al: Meningeal hemangiopericytoma histopathological feature, treatment, and long- term follow up of 44 cases. Neurosurgery 25:514-522, 1989.
10- Ghose A, Guha G, Kundu R et al: CNS hemangiopericytoma: a systemic review of 523 patients. Am J clin 40:223-227, 2017.
11- Hallen M, Parada LA, Goeunova L et al: Cytogenic abnormalities in a hemagiopericytoma of the spleen. Cancer Genet Cytogenet 2002,136: 62-65 .
12- Hugle WP: Malignant hemangiopericytoma. A clinical overview and case study. Clin J Oncol 2003:7:57-62.
13- Kaminska I, S-Wojcik E, Kudsinski P et al: Primary lung hemangiopericytoma: a rare neoplasm with a long course of recurrence over many years. Pneumonol Alergol Pol 2001,69: 290-294.
14- Lee SJ, Kim ST, Park SH et al: Successful use of pazopanib for treatment of refractory metastatic hemangiopericytoma. Division of Hematology-Oncology, dpt of Medecine Samsung, Seoul 135-710, Korea.
15- Penel N, Amela EY, Decanter G, Robin YM, Marec- Berard P. Solitary Fibrous Tumors and So-Called Hemangiopericytoma. Volume 2012, Article ID 690251, doi:10.1155/2012/69025.
16- Radulescu D, Pripon S, Ciuleanu TE, et al: Malignant primary tumor with hemangiopericytoma-like feature: conventional hemangiopericytoma versus solitary fibrous tumor. Clinical lung cancer, vol 8, No 8, 504- 508, 2007.
17- Stout AP and Murray MR: Hemagiopericytoma a vascular tumor featuring Zimmerman’s pericytes. Ann Surg 1942, 116:26-32.
18- Sung KS, Moon JH, Kim EH et al: Solitary fibrous tumor/hemangiopericytoma. Treatment results based on the 2016 WHO classification. J Neurosurg, March 9, 2018.
19- Van de Rijn M, Lombard CM, Rouse RV: Expression of CD34 by solidary fibrous tumors of pleura, mediastinum and lung. Am J Surg Pathol 1994,18:815-820.
20- Tulay Akman, Ahmet Alacacioglu, Devrim Dolek, Tugba Unek, Duygu Gurel, Ahmet Ugur Yilmaz, and Ahmet Onen . Malign Recurrence of Primary Chest Wall Hemangiopericytoma in the Lung after Four Years : A Case Report and Review of the Literature. Hindawi, Volume 2014, Article ID 470268, http://dx.doi.org/10.1155/2014/470268.

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