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Year : 2015  |  Volume : 4  |  Issue : 3  |  Page : 185-187

Huge malignant mediastinal hemangiopericytoma compressing the heart and mediastinum

Department of Surgery, College of Medicine and Medical Sciences, Taif University, Taif 21947; Department of Surgery, King Abdul-Aziz Specialist Hospital, Taif 10127, Saudi Arabia

Correspondence Address:
Majed Al-Mourgi
Department of Surgery, College of Medicine, Taif University, P.O. Box: 888, Taif 21947
Saudi Arabia
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2278-0521.171439

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Hemangiopericytoma is a hypervascular tumor, originating from the pericytes of the capillary vessels and occurs anywhere in the body, but it is a rare mediastinal tumor. In this case report, I will present a 45-year-old male patient with huge mediastinal hemangiopericytoma compressing the heart and occupying most of the anterior mediastinum. To my knowledge, it was the first case reported in the Middle East and the largest in the English literature. Complete excision was performed but unfortunately, the patient becomes arrested and died at the end of the first postoperative day. Though mediastinal hemangiopericytoma is a rare mediastinal mass, it must be considered in differential diagnosis, and if it is suspected radiologically, the Tru-cut needle biopsy must be avoided and the tumor hypervascularity can be reduced by preoperative embolization or radiotherapy to facilitate its resection.

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