Pancreatic head mass from metastatic meningeal hemangiopericytoma

Purpose. To illustrate the propensity of meningeal hemangiopericytoma to spread extraneurally, as a distinction to the ordinary meningioma. Patients or subjects. A patient with long history of meningeal hemangiopericytoma was reported. Methods. A case report on meningeal hemangiopericytoma with a literature review was presented. Results. The patient has multiple local recurrence as well as distant metastases. This is the first case report of metastatic meningeal hemangiopericytoma causing compression of the pancreatic head. The patient also has biopsy-proven pulmonary metastases. The patient received both local and systemic therapy. Discussion. It is important to recognize the distinctive features differentiating meningeal hemangiopericytoma from meningioma. The positive impact of clinico-pathological correlation on patient management is emphasized.