Primary Intraparenchymal Central Nervous System Solitary Fibrous Tumor/Hemangiopericytoma Presenting with Intracerebral Hemorrhage: A Case Report
- Author:
Myeong Hun HA
1
;
Tae Young JUNG
;
Seul Kee KIM
;
Kyung Hwa LEE
;
Daru KIM
Author Information
- Publication Type:Case Report
- Keywords: Solitary fibrous tumors; Hemangiopericytoma; Hemorrhage; Brain neoplasms
- MeSH: Accidents, Traffic; Brain; Brain Neoplasms; Central Nervous System; Cerebral Hemorrhage; Contrast Media; Craniocerebral Trauma; Emergencies; Emergency Service, Hospital; Hemangiopericytoma; Hemorrhage; Humans; Mitotic Index; Paresis; Radiotherapy; Solitary Fibrous Tumors; Temporal Lobe
- From:Brain Tumor Research and Treatment 2019;7(1):53-56
- CountryRepublic of Korea
- Language:English
- Abstract: A 53-year old man who had a left hemiparesis from head injury of traffic accident 20 years ago visited an emergency room with suddenly developed semi-comatose mental status. Brain CT showed 8.6-cm sized solid and cystic mass on right temporal lobe that was associated with hemorrhage. Solid lesion showed a strong enhancement after an administration of contrast media. Because of severe mass effect, emergency operation was performed. The mass was an intraparenchymal lesion with yellowish cystic fluid and the firm reddish-brown solid lesion was hemorrhagic. The lesion was totally resected. Pathologically, anaplastic solitary fibrous tumor/hemangiopericytoma was diagnosed with 70/10 high power fields. Postoperative radiotherapy of 50 Gy was done. Postoperative 2 months later, the patient was recovered to alert mental state. We report this unusual case of non-dural based intraparenchymal solitary fibrous tumor/hemangiopericytoma with high mitotic index and acute massive hemorrhage. Rapid tumor growth of hypervascular tumor might have a chance of bleeding.
