Laparoscopic resection of intra-abdominal metastasis from intracranial hemangiopericytoma

Terry P. Nickerson, Aodhnait S. Fahy, Juliane Bingener

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Introduction Hemangiopericytoma (HPC) is a rare mesenchymal tumor derived from capillary and postcapillary pericytes that often has an indolent course and occasionally presents with abdominal metastasis. Presentation of case Twenty-three years after the initial resection of an intracranial HPC located in the right frontoparietal region and left lateral ventricle, a 63-year-old man experienced dull abdominal pain and early satiety and had a palpable epigastric mass. Computed tomography indicated a suspected metastasis of HPC to the left upper abdomen. On laparoscopic exploration, the tumor was found in the falciform ligament and was excised laparoscopically per request of the patient. He had a fast recovery and experienced good relief of his pain and satiety. The patient had 2 additional metastases at his 12-month follow-up, both in the right retroperitoneum, and he again underwent laparoscopic resection. At his next annual follow-up, new metastases were identified in his liver, small-bowel mesentery, and peritoneal surface, prompting a trial of systemic chemotherapy. Because of progress of a left lower abdominal preperitoneal metastasis on follow-up at 3 years, the patient underwent a further successful laparoscopic exploration. Postoperatively, systemic chemotherapy was maintained. Discussion We report the recurrent laparoscopic resection of peritoneal metastases of primary intracranial HPC with good symptom control and fast recovery. Both the patient and the referring physician requested a minimally invasive surgical approach. Conclusion Laparoscopic resection is a feasible treatment strategy for intraperitoneal metastases and is effective in symptom palliation.

Original languageEnglish (US)
Pages (from-to)50-53
Number of pages4
JournalInternational Journal of Surgery Case Reports
Volume15
DOIs
StatePublished - 2015

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Hemangiopericytoma
Neoplasm Metastasis
Drug Therapy
Pericytes
Mesentery
Lateral Ventricles
Ligaments
Abdomen
Abdominal Pain
Heart Ventricles
Neoplasms
Tomography
Physicians
Pain
Liver

Keywords

  • Abbreviations CT computed tomography
  • HPC hemangiopericytoma
  • WHO World Health Organization

ASJC Scopus subject areas

  • Surgery

Cite this

Laparoscopic resection of intra-abdominal metastasis from intracranial hemangiopericytoma. / Nickerson, Terry P.; Fahy, Aodhnait S.; Bingener, Juliane.

In: International Journal of Surgery Case Reports, Vol. 15, 2015, p. 50-53.

Research output: Contribution to journalArticle

Nickerson, Terry P. ; Fahy, Aodhnait S. ; Bingener, Juliane. / Laparoscopic resection of intra-abdominal metastasis from intracranial hemangiopericytoma. In: International Journal of Surgery Case Reports. 2015 ; Vol. 15. pp. 50-53.
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AB - Introduction Hemangiopericytoma (HPC) is a rare mesenchymal tumor derived from capillary and postcapillary pericytes that often has an indolent course and occasionally presents with abdominal metastasis. Presentation of case Twenty-three years after the initial resection of an intracranial HPC located in the right frontoparietal region and left lateral ventricle, a 63-year-old man experienced dull abdominal pain and early satiety and had a palpable epigastric mass. Computed tomography indicated a suspected metastasis of HPC to the left upper abdomen. On laparoscopic exploration, the tumor was found in the falciform ligament and was excised laparoscopically per request of the patient. He had a fast recovery and experienced good relief of his pain and satiety. The patient had 2 additional metastases at his 12-month follow-up, both in the right retroperitoneum, and he again underwent laparoscopic resection. At his next annual follow-up, new metastases were identified in his liver, small-bowel mesentery, and peritoneal surface, prompting a trial of systemic chemotherapy. Because of progress of a left lower abdominal preperitoneal metastasis on follow-up at 3 years, the patient underwent a further successful laparoscopic exploration. Postoperatively, systemic chemotherapy was maintained. Discussion We report the recurrent laparoscopic resection of peritoneal metastases of primary intracranial HPC with good symptom control and fast recovery. Both the patient and the referring physician requested a minimally invasive surgical approach. Conclusion Laparoscopic resection is a feasible treatment strategy for intraperitoneal metastases and is effective in symptom palliation.

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