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Destructive Radiologic Development of Intravascular Papillary Endothelial Hyperplasia on Skull Bone

Intravascular papillary endothelial hyperplasia (IPEH) is a rare vascular benign lesion that rarely involves the central nervous system with or without skull invasion. We report a rare case of IPEH on the skull bone, which displayed destructive radiologic development associated with hemorrhage. A 14...

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Autores principales: Lee, Seul-Kee, Jung, Tae-Young, Baek, Hee-Jo, Kim, Seul-Kee
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Neurosurgical Society 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3440503/
https://www.ncbi.nlm.nih.gov/pubmed/22993678
http://dx.doi.org/10.3340/jkns.2012.52.1.48
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author Lee, Seul-Kee
Jung, Tae-Young
Baek, Hee-Jo
Kim, Seul-Kee
author_facet Lee, Seul-Kee
Jung, Tae-Young
Baek, Hee-Jo
Kim, Seul-Kee
author_sort Lee, Seul-Kee
collection PubMed
description Intravascular papillary endothelial hyperplasia (IPEH) is a rare vascular benign lesion that rarely involves the central nervous system with or without skull invasion. We report a rare case of IPEH on the skull bone, which displayed destructive radiologic development associated with hemorrhage. A 14-year-old male presented with an incidentally detected a small enhancing, left frontal osteolytic lesion. Previously, he underwent operation and received adjuvant chemoradiation therapy for cerebellar medulloblastoma. Follow-up magnetic resonance imaging revealed a left frontal bone lesion, which expanded to an approximately 2 cm-sized well-circumscribed osteolytic lesion associated with hemorrhage for 20 months. Frontal craniectomy and cranioplasty were performed. Destructive change was detected on the inner table and diploic space of the skull. The mass had a cystic feature with hemorrhagic content without dural attachment. Pathologic examination showed the capsule consisted of parallel collagen lamellae representing a vascular wall, vascular lumen, which was pathognomonic for IPEH. Immunohistochemical staining revealed that the capsule was positive for CD34 and factor VIII, which favor the final diagnosis of IPEH. This was the first case of intracalvarial IPEH.
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spelling pubmed-34405032012-09-19 Destructive Radiologic Development of Intravascular Papillary Endothelial Hyperplasia on Skull Bone Lee, Seul-Kee Jung, Tae-Young Baek, Hee-Jo Kim, Seul-Kee J Korean Neurosurg Soc Case Report Intravascular papillary endothelial hyperplasia (IPEH) is a rare vascular benign lesion that rarely involves the central nervous system with or without skull invasion. We report a rare case of IPEH on the skull bone, which displayed destructive radiologic development associated with hemorrhage. A 14-year-old male presented with an incidentally detected a small enhancing, left frontal osteolytic lesion. Previously, he underwent operation and received adjuvant chemoradiation therapy for cerebellar medulloblastoma. Follow-up magnetic resonance imaging revealed a left frontal bone lesion, which expanded to an approximately 2 cm-sized well-circumscribed osteolytic lesion associated with hemorrhage for 20 months. Frontal craniectomy and cranioplasty were performed. Destructive change was detected on the inner table and diploic space of the skull. The mass had a cystic feature with hemorrhagic content without dural attachment. Pathologic examination showed the capsule consisted of parallel collagen lamellae representing a vascular wall, vascular lumen, which was pathognomonic for IPEH. Immunohistochemical staining revealed that the capsule was positive for CD34 and factor VIII, which favor the final diagnosis of IPEH. This was the first case of intracalvarial IPEH. The Korean Neurosurgical Society 2012-07 2012-07-31 /pmc/articles/PMC3440503/ /pubmed/22993678 http://dx.doi.org/10.3340/jkns.2012.52.1.48 Text en Copyright © 2012 The Korean Neurosurgical Society http://creativecommons.org/licenses/by-nc/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Lee, Seul-Kee
Jung, Tae-Young
Baek, Hee-Jo
Kim, Seul-Kee
Destructive Radiologic Development of Intravascular Papillary Endothelial Hyperplasia on Skull Bone
title Destructive Radiologic Development of Intravascular Papillary Endothelial Hyperplasia on Skull Bone
title_full Destructive Radiologic Development of Intravascular Papillary Endothelial Hyperplasia on Skull Bone
title_fullStr Destructive Radiologic Development of Intravascular Papillary Endothelial Hyperplasia on Skull Bone
title_full_unstemmed Destructive Radiologic Development of Intravascular Papillary Endothelial Hyperplasia on Skull Bone
title_short Destructive Radiologic Development of Intravascular Papillary Endothelial Hyperplasia on Skull Bone
title_sort destructive radiologic development of intravascular papillary endothelial hyperplasia on skull bone
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3440503/
https://www.ncbi.nlm.nih.gov/pubmed/22993678
http://dx.doi.org/10.3340/jkns.2012.52.1.48
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