Head and Neck Imaging

Haemangiopericytoma, head and neck

vascular tumour that can arise wherever capillaries are present. The pericytes surrounding the endothelial cells are believed to be the cells of tumour origin. About 15 - 25% of haemangiopericytomas occur in the head and neck region, half of these in the nose or paranasal sinuses. It is a rapidly growing, usually painless tumour, and is seen at all ages. The prognosis after resection is unpredictable; they should be regarded as locally aggressive tumours with a relatively high recurrence rate. On CT and MRI, a haemangiopericytoma appears as an expansile, bone remodelling lesion with variable enhancement of the mass ( Fig.1).

 

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Fig.1

Coronal T1-weighted spin-echo image. A strongly enhancing expansile mass is seen in the right maxillary sinus, displacing and eroding the orbital floor, extending into the nasal cavity and through the lateral maxillary wall.
Haemangiopericytoma, head and neck, Fig.1