Large giant cell reparative granuloma of the petrous bone--case report.
A 41-year-old man presented with a large mass bulging over the suprazygomatic temporal region. Neuroradiological examination showed that the huge extra-axial mass with osteolytic character originated from the upper surface of the petrous bone. Preoperative obliteration of the feeding arteries with super-selective intravascular embolization was helpful for the total removal of the tumor. Histological examination revealed that the tumor consisted of massive fibrohistiocytic proliferation with numerous heavily hemosiderin-laden macrophages and numerous multinucleated giant cells. The most probable diagnosis was giant cell reparative granuloma. Therefore, no postoperative irradiation or other adjuvant therapy was given.
Matsui
Toru
T
Department of Neurosurgery, Saitama Medical Center/School, Kawagoe, Saitama. matsui@ns2.saitama-med.ac.jp
Iwamuro
Kohichi
K
Ishikawa
Tosiroh
T
Asano
Takao
T
Itoyama
Shinji
S
Tabe
Hiroo
H
D000328:Adult; D003399:Craniotomy; D004621:Embolization, Therapeutic; D006101:Granuloma, Giant Cell / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D010579:Petrous Bone / Q000000981:diagnostic imaging* / Q000473:pathology*; D014057:Tomography, X-Ray Computed