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Glomangiopericytoma (sinonasal-type haemangiopericytoma)

Published online by Cambridge University Press:  17 July 2012

J C Oosthuizen ,
S Kennedy  and
C Timon
J C Oosthuizen*
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, The Royal Victoria Eye and Ear Hospital, Dublin, Republic of Ireland
S Kennedy
Affiliation:
Department of Pathology, The Royal Victoria Eye and Ear Hospital, Dublin, Republic of Ireland
C Timon
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, The Royal Victoria Eye and Ear Hospital, Dublin, Republic of Ireland
*
Address for correspondence: Mr J C Oosthuizen, Department of Otorhinolaryngology, Head and Neck Surgery, The Royal Victoria Eye and Ear Hospital, Adelaide Road, Dublin, Republic of Ireland Fax: +353 16343665 E-mail: C.Oosth@gmail.com
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Abstract

Background:

Glomangiopericytoma is a rare sinonasal tumour of perivascular myoid phenotype, which accounts for less than 1 per cent of all sinonasal tumours.

Objective:

Discussion of the clinical presentation, histopathological features and advances in the management of sinonasal and skull base glomangiopericytoma.

Case report:

A 32-year-old woman presented with worsening nasal obstruction, anosmia, severe frontal headaches and right-sided proptosis. Radiographic and endoscopic examination revealed a right-sided, vascular mass involving the nasal cavity, paranasal sinuses and anterior skull base. Histopathological features were consistent with a glomangiopericytoma. Complete endoscopic resection with free margins was achieved.

Conclusion:

Glomangiopericytomas are rare, vascular, sinonasal tumours. Successful management depends on complete resection, traditionally achieved via an open approach. However, recent advances in endoscopic surgical approaches have enabled complete endoscopic resection of these tumours, minimising morbidity and facilitating subsequent surveillance of the operative site.

Keywords

Paranasal SinusesNasal CavityHemangiopericytomaGlomangiopericytoma
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 126 , Issue 10 , October 2012 , pp. 1069 - 1072
Copyright
Copyright © JLO (1984) Limited 2012

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