Intracerebral Masson's Tumor—Slow-Filling Vascular Lesion Demonstrated by Indocyanine Green Video Angiography

BACKGROUND: Intravascular papillary endothelial hyperplasia or Massons's tumours are benign vascular lesions which are rarely seen intracranially. The vascular characteristics of these lesions are also unknown. CASE DESCRIPTION: We report a case of a 24 year old male patient with a 3 year history of headache and dizziness. Neuroradiological imaging showed a slow-growing lesion consistent with a low-grade glioma. Intra-operative appearance was of a vascular lesion which was slow-filling as demonstrated with indocyanine green video angiography. Histological analysis following resection revealed intravascular papillary endothelial hyperplasia (Masson's tumour). CONCLUSION: Masson's tumours are slow-filling vascular lesions. The pre-operative diagnosis of this lesion is difficult as it can mimic a neoplastic lesion. Conservative as well as surgical treatment options should therefore be carefully considered. Patients with subtotal resection must undergo long-term follow-up surveillance imaging as recurrence is a possibility.