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Surgical management of primary spinal hemangiopericytomas: an institutional case series and review of the literature

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An Erratum to this article was published on 25 January 2013

Abstract

Purpose

Hemangiopericytoma (HPC) is a rare tumor of the central nervous system. Primary spinal occurrence of this tumor is extremely uncommon and cases involving the intramedullary spinal cord are even more rare. The purpose of this study was to explore the clinical features, surgical strategies, outcome and pathology in a consecutive series of patients treated at a single institution.

Methods

The authors performed a retrospective review of the clinicopathological characteristics of four patients with a pathological diagnosis of spinal HPC.

Results

Four cases with intradural as well as intra/extra-medullary components were identified. Gross total resection with no recurrence at the operative site was achieved in the majority of patients with a spinal HPC. One patient had significant recurrence and eventually, succumbed to the disease.

Conclusion

Increased awareness of these tumors’ capability to occur intradurally and intramedullarly can help surgeons accurately diagnose and choose an effective plan of care. Gross total resection of hemangiopericytomas is the mainstay of treatment and should be pursued if feasible. Histopathology is essential to the diagnosis.

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Conflict of interest

None of the authors has any potential conflict of interest.

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Authors and Affiliations

  1. Department of Neurosurgery, Cedars-Sinai Medical Center, Los Angeles, CA, USA

    Ali Shirzadi, Doniel Drazin, Marcus Gates, Neda Shirzadi, Eli M. Baron & J. Patrick Johnson

  2. Department of Pathology and Laboratory Medicine, Cedars-Sinai Medical Center, Los Angeles, CA, USA

    Sergei Banykh & Xuemo Fan

  3. Spine Center, Cedars-Sinai Medical Center, Los Angeles, CA, 90048, USA

    Leonel Hunt, Eli M. Baron, Wesley A. King, Terrence T. Kim & J. Patrick Johnson

Authors
  1. Ali Shirzadi
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  2. Doniel Drazin
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  3. Marcus Gates
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  4. Neda Shirzadi
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  5. Sergei Banykh
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  6. Xuemo Fan
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  7. Leonel Hunt
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  8. Eli M. Baron
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  9. Wesley A. King
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  10. Terrence T. Kim
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  11. J. Patrick Johnson
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Corresponding author

Correspondence to J. Patrick Johnson.

Additional information

Drs. A. Shirzadi and D. Drazin contributed equally to this work.

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Shirzadi, A., Drazin, D., Gates, M. et al. Surgical management of primary spinal hemangiopericytomas: an institutional case series and review of the literature. Eur Spine J 22 (Suppl 3), 450–459 (2013). https://doi.org/10.1007/s00586-012-2626-z

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  • DOI: https://doi.org/10.1007/s00586-012-2626-z

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