A 48-year-old woman came to our hospital with complaint of macroscopic
hematuria and left lower
abdominal pain, on January, 27, 1982. She complained of lower abdominal oppressive
pain, but no abdominal
tumor was palpated on physical examination. Vaginal examination revealed a stony hard and nodular
tumor which was not movable, and as large as a man's fist, on the left side of uterine cervix. IVP revealed left nonfunctioning kidney. Cystoscopy revealed no abnormal finding but left ureteral catheterization could not be done. CTscan revealed intrapelvic homogenous mass which could not be identified from uterus. Pelvic angiography revealed an encasement of the left uterine artery, and moderate hypervascular
tumor which deviated the obturatorius artery. Under the diagnosis of retroperitoneal
tumor, operation was done on March, 8, 1982. The
tumor existed in the retroperitoneal space, and was as large as a man's fist. It was not a movable mass, venous dilatation was found on its surface, and severe adhesion was found between the lateral side of the
tumor and the left external iliac artery. So only biopsy was done. Histopathological diagnosis of the specimen was
hemangiopericytoma. She received postoperative
radiation therapy with total dose 5,000rad in 5 weeks. Now about 2 years have passed, vaginal examination revealed no
tumor, and CTscan revealed diminishment of the
tumor. Generally
radiotherapy is not considered to be effective for
hemangiopericytoma, but sometimes it is. Thus preoperative vascular embolization with surgical resection and postoperative
radiotherapy or
chemotherapy are considered to be necessary for successful treatment of
hemangiopericytoma.