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Hemangiopericytoma is an aggressive mesenchymally derived tumor with oval nuclei with scant cytoplasm. There is dense intercellular reticulin staining. Tumor cells can be fibroblastic, myxoid, or pericytic. These tumors, in contrast to meningiomas, do not stain with epithelial membrane antigen.
Anaplastic meningioma and hemangiopericytoma are difficult to distinguish, even by pathological means, as they look similar, especially, if the first occurrence is a meningeal tumor, and both tumors occur in the same types of tissue. [citation needed]
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Contrast enhanced MRI of the conus medullaris and cauda equina of patient with VHL depicts a hemangioblastoma of the conus with extension into the nerve roots.
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Histology must be used to make the diagnosis because the tumor may be hard to differentiate from other neoplasms with similar characteristics. [7] Histologically, hemangiopericytoma is characterized by staghorn-shaped blood vessels and sponge-like sinusoidal vasculature that are randomly linked and encircled by ovoid, short spindle-shaped cells. [8]
[14] [6] [7] Intradural-extramedullary tumors are located within the dura but outside of the spinal cord parenchyma, with the most common being meningiomas and nerve sheath tumors (e.g. schwannomas, neurofibromas). [5] [14] [7] Extradural tumors are located outside the dura mater most commonly in the vertebral bodies from metastatic disease. [1]
A hemangioma or haemangioma is a usually benign vascular tumor derived from blood vessel cell types. The most common form, seen in infants, is an infantile hemangioma, known colloquially as a "strawberry mark", most commonly presenting on the skin at birth or in the first weeks of life.