Hemangiopericytoma is a soft tissue tumor which is
derived from mesenchymal cells with differentiation of
pericytes. It represents a limited proportion of tumors in
head and neck and most commonly occurs in sinonasal
cavities.
A case of sinonasal hemangioperictyoma of 75years
male patient admitted. He presented with symptoms of
frequent episodes of epistaxis, foul smelling nasal discharge.
A purple vascular lobulated mass filled in both nasal
cavities. The tumor removed en-bloc by endoscopic
operation.
Post-operative histopathological and
immunohistochemistry examinations confirmed sinonasal
hemangiopericytoma. No recurrences seen both
endoscopically and radiologically in 3year post-operative
follow-up.
Hemangiopericytoma is vascular tumor of uncommon
variation, its biological behavior prediction is difficult based
on histopathalogical examination alone.
Immunohistochemistry is helpful to diagnose the tumor.