Hemangiopericytoma: A cause of recurrent epistaxis

Abstract

Hemangiopericytoma is a soft tissue tumor with histological variability and unpredictable clinical and biological behavior. this disease is uncommon in the head and neck and the growth pattern is unspecific; thus, diagnosis is often made by exclusion. A 43-year-old woman presented with a story of recurrent epistaxis associated to a growing mass in the paranasal sinus and a paraneoplastic syndrome. the imaging revealed an hypervascular tumor in the right nasal cavity and obliteration of all the ipsilateral sinus cavities. after biopsy the lesion was removed with resolution of epistaxis and paraneoplastic syndrome. There has been no evidence of disease recurrence in 3 years of follow-up. Our experience demonstrated that surgery can be considered the treatment of choice to prevent recurrence of tumor and to treat oncogenic osteomalacia too.