1. Intracranial solitary fibrous tumor/hemangiopericytoma mimicking cystic meningioma: A case report and literature review
- Author
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Yusuke Uchiyama, Toshi Abe, Tomonori Chikasue, Yasuo Sugita, Satoru Komaki, and Shuichi Tanoue
- Subjects
medicine.medical_specialty ,Hyperostosis ,Solitary fibrous tumor ,R895-920 ,Case Report ,Intracranial solitary fibrous tumor/hemangiopericytoma (SFT/HPC) ,030218 nuclear medicine & medical imaging ,Meningioma ,Lesion ,Medical physics. Medical radiology. Nuclear medicine ,03 medical and health sciences ,0302 clinical medicine ,medicine ,Effective diffusion coefficient ,Radiology, Nuclear Medicine and imaging ,Hemangiopericytoma ,medicine.diagnostic_test ,business.industry ,Magnetic resonance imaging ,medicine.disease ,Histopathology ,Radiology ,Diffusion-weighted imaging ,medicine.symptom ,business ,030217 neurology & neurosurgery - Abstract
Intracranial solitary fibrous tumor/hemangiopericytoma (SFT/HPC) is a relatively rare type of tumor that originates from meningeal mesenchyme. A 30-year-old man presented leaning his body to the left and with weakness of his left lower limb. Computed tomography revealed a heterogeneous mass with multiple cystic components and hyperostosis of the right cranial convexity. Magnetic resonance imaging showed the mass was broadly attached to the dura matter with dural tail sign. In addition, the lesion had extensive cystic degeneration and a solid compartment showing low apparent diffusion coefficient values. The patient underwent gross total resection of the intracranial lesion and presented no recurrence within a 12-month follow-up period. Histopathology confirmed SFT/HPC (World Health Organization grade Ⅱ). Although there have been several useful techniques reported to differentiate SFT/HPC from meningioma, in this case the atypical findings for SFT/HPC made it difficult. We report the imaging findings of this case and some literature reviews.
- Published
- 2021