Masson’s tumor of the pineal region: case report

Lefko T. Charalambous Departments of Neurosurgery and

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Anirudh Penumaka Departments of Neurosurgery and

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Jordan M. Komisarow Departments of Neurosurgery and

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Amanda C. Hemmerich Pathology, Duke University Medical Center, Durham, North Carolina

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Thomas J. Cummings Pathology, Duke University Medical Center, Durham, North Carolina

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Patrick J. Codd Departments of Neurosurgery and

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Allan H. Friedman Departments of Neurosurgery and

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Intracranial intravascular papillary endothelial hyperplasia (IPEH), also referred to as Masson’s tumor, is a condition that rarely occurs in the nervous system. IPEH most frequently occurs extracranially in the skin of the face, skull, neck, and trunk and can easily be mistaken clinically, radiologically, and histologically for angiosarcoma, organizing hematoma, or other vascular malformations. IPEH accounts for roughly 2% of all vascular tumors and is extremely rare intracranially, with only 23 reported cases compared with more than 300 cases of IPEH occurring in the skin and subcutaneous tissue. To date, it has never been reported to occur in the pineal region. The authors report the case of a patient with an IPEH in the pineal region who underwent complex resection and experienced reversal of neurological symptoms.

ABBREVIATIONS

IPEH = intravascular papillary endothelial hyperplasia.
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