Titanium Plate Cranioplasty Induced Intravascular Papillary Endothelial Tumor: Case Report and Review of the Literature

Uri P Hadelsberg*, Nevo Margalit and Lior Gonen

Received: November 01, 2018;   Published: November 26, 2018

DOI: 10.26717/BJSTR.2018.11.002089

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Abstract

Intravascular Papillary Endothelial Hyperplasia (IPEH) or Masson’s tumor are non-specific vascular lesions which enclose reactive proliferation of endothelial cells that arise in an organizing thrombus. These tumors are an extremely rare intracranial entity, with few cases in the literature reported.

Case Report: The authors present a 66-year-old male who underwent decompressive craniectomy and a titanium plate cranioplasty due to a warfare injury 40 years ago. Recently, he presented to our institution with a lesion which has started to grow several years prior to his admission, growing on the patient’s titanium plate underneath the skin. He underwent surgery with complete removal of the tumor and made a complete recovery. The tumor turned out to be an Intravascular Papillary Endothelial Hyperplasia (IPEH) tumor. The authors present a case report involving an intracranial IPEH tumor and current intracranial treatment modalities for this type of tumor.

Abbreviations : IPEH: Intravascular Papillary Endothelial Hyperplasia; CT: Computed Tomography; IPEHT: IPEH Tumors; MRI: Magnetic Resonance Imaging