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Case Reports in Oncological Medicine
Volume 2015, Article ID 214306, 5 pages
http://dx.doi.org/10.1155/2015/214306
Case Report

Multidisciplinary Approach to Hepatic Metastases of Intracranial Hemangiopericytoma: A Case Report and Review of the Literature

1Surgical Department, “Konstantopouleio” General Hospital, Nea Ionia, 14233 Athens, Greece
2Interventional Radiology Department, “G. Gennimatas” General Hospital, 11527 Athens, Greece
31st Department of Pathology, Medical School, National and Kapodistrian University of Athens, 11527 Athens, Greece

Received 16 December 2014; Accepted 7 May 2015

Academic Editor: Francesca Micci

Copyright © 2015 Dimitrios K. Manatakis et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Hemangiopericytoma is a rare primary tumor originating from Zimmerman’s pericytes, with significant metastatic potential. Hepatic metastatic disease requires an aggressive approach by a multidisciplinary team of dedicated oncology specialists, to prolong survival in selected patients. We report on a patient with recurrent hepatic metastases of grade II intracranial hemangiopericytoma 5 years after initial treatment, managed by a stepwise combination of liver resection, radiofrequency ablation, and transarterial embolization. Although metastatic disease implies hematogenous dissemination, long-term survival after liver resection has been reported and major hepatectomies are justified in patients with adequate local control. Liver resections combined with transarterial embolization are highly recommended, due to hypervascularity of the tumor.