Skip to main content

Recurrent intracranial Masson's vegetant intravascular hemangioendothelioma. Case report and review of the literature.

Publication ,  Journal Article
Avellino, AM; Grant, GA; Harris, AB; Wallace, SK; Shaw, CM
Published in: J Neurosurg
August 1999

In the central nervous system, recurrence of intracranial Masson's vegetant intravascular hemangioendothelioma (MVIH) is rare. To the authors' knowledge, only three recurrent intracranial cases have been reported. The authors report the case of a 75-year-old woman with a recurrent left-sided cerebellopontine angle and middle cranial fossa MVIH. When the patient was 62 years of age, she underwent preoperative embolization and subtotal resection of the intracranial lesion followed by postoperative radiotherapy. She was well and free from disease until 9 years postoperatively when she became symptomatic. At 71 years of age, the patient again underwent preoperative embolization and near-gross-total resection of the lesion. Follow-up imaging performed 15 months later revealed tumor recurrence, and she underwent stereotactic gamma knife radiosurgery. At a 2.75-year follow-up review, the patient's imaging studies revealed stable residual tumor. This case report is unique in that it documents the clinical and pathological features, surgical and postoperative treatment, and long-term follow-up review of a patient with recurrent intracranial MVIH and suggests that this unusual vascular lesion is a slow-growing benign tumor rather than a reactive process. Because the pathological composition of the lesion may resemble an angiosarcoma, understanding this benign vascular neoplasm is crucial so that an erroneous diagnosis of malignancy is not made and unnecessary adjuvant therapy is not given.

Duke Scholars

Published In

J Neurosurg

DOI

ISSN

0022-3085

Publication Date

August 1999

Volume

91

Issue

2

Start / End Page

308 / 312

Location

United States

Related Subject Headings

  • Radiosurgery
  • Neurology & Neurosurgery
  • Neoplasm, Residual
  • Neoplasm Recurrence, Local
  • Longitudinal Studies
  • Humans
  • Hemangioendothelioma
  • Follow-Up Studies
  • Female
  • Embolization, Therapeutic
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Avellino, A. M., Grant, G. A., Harris, A. B., Wallace, S. K., & Shaw, C. M. (1999). Recurrent intracranial Masson's vegetant intravascular hemangioendothelioma. Case report and review of the literature. J Neurosurg, 91(2), 308–312. https://doi.org/10.3171/jns.1999.91.2.0308
Avellino, A. M., G. A. Grant, A. B. Harris, S. K. Wallace, and C. M. Shaw. “Recurrent intracranial Masson's vegetant intravascular hemangioendothelioma. Case report and review of the literature.J Neurosurg 91, no. 2 (August 1999): 308–12. https://doi.org/10.3171/jns.1999.91.2.0308.
Avellino AM, Grant GA, Harris AB, Wallace SK, Shaw CM. Recurrent intracranial Masson's vegetant intravascular hemangioendothelioma. Case report and review of the literature. J Neurosurg. 1999 Aug;91(2):308–12.
Avellino, A. M., et al. “Recurrent intracranial Masson's vegetant intravascular hemangioendothelioma. Case report and review of the literature.J Neurosurg, vol. 91, no. 2, Aug. 1999, pp. 308–12. Pubmed, doi:10.3171/jns.1999.91.2.0308.
Avellino AM, Grant GA, Harris AB, Wallace SK, Shaw CM. Recurrent intracranial Masson's vegetant intravascular hemangioendothelioma. Case report and review of the literature. J Neurosurg. 1999 Aug;91(2):308–312.

Published In

J Neurosurg

DOI

ISSN

0022-3085

Publication Date

August 1999

Volume

91

Issue

2

Start / End Page

308 / 312

Location

United States

Related Subject Headings

  • Radiosurgery
  • Neurology & Neurosurgery
  • Neoplasm, Residual
  • Neoplasm Recurrence, Local
  • Longitudinal Studies
  • Humans
  • Hemangioendothelioma
  • Follow-Up Studies
  • Female
  • Embolization, Therapeutic