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Endoscopic, endonasal management of sinonasal haemangiopericytoma: 12-year experience

Published online by Cambridge University Press:  04 May 2010

M Bignami
Affiliation:
Department of Otorhinolaryngology, University of Insubria, Varese, Italy
I Dallan*
Affiliation:
ENT Unit, Azienda Ospedaliero-Universitaria Pisana, Pisa, Italy
P Battaglia
Affiliation:
Department of Otorhinolaryngology, University of Insubria, Varese, Italy
R Lenzi
Affiliation:
ENT Unit, Azienda Ospedaliero-Universitaria Pisana, Pisa, Italy
A Pistochini
Affiliation:
Department of Otorhinolaryngology, University of Insubria, Varese, Italy
P Castelnuovo
Affiliation:
Department of Otorhinolaryngology, University of Insubria, Varese, Italy
*
Address for correspondence: Dr Iacopo Dallan, ENT Unit, Azienda Ospedaliero-Universitaria Pisana, Via Savi 10, 56126 Pisa, Italy. Fax: +39 050 993239 E-mail: iacopodallan@tiscali.it

Abstract

Aim:

To report our experience with endoscopic, endonasal management of sinonasal haemangiopericytoma.

Materials and methods:

Retrospective review of the medical records of 10 patients undergoing endoscopic, endonasal surgery for sinonasal haemangiopericytoma of the nose and paranasal sinuses, between 1997 and 2008.

Results:

Five men and five women were included. Their mean age at surgery was 59 years. All patients underwent endoscopic, endonasal resection of their tumour. Major post-operative complications were encountered in only one patient (stroke). Local recurrence was diagnosed in only one patient (10 per cent), who subsequently underwent a combined resection (endoscopic and external) with orbital exenteration.

Conclusions:

Sinonasal haemangiopericytomas are rare tumours that are usually benign. The mainstay of treatment is wide surgical excision with free resection margins. Nowadays, the great majority of patients can be treated using a purely endoscopic, endonasal approach.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 2010

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References

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