Delayed occurrence of multiple spinal drop metastases from a posterior fossa choroid plexus papilloma

2006 ◽  
Vol 4 (6) ◽  
pp. 494-496 ◽  
Author(s):  
Hong Yu ◽  
Tom L. Yao ◽  
John Spooner ◽  
Jennifer R. Stumph ◽  
Ray Hester ◽  
...  
Keyword(s):  
Choroid Plexus ◽  
Posterior Fossa ◽  
Choroid Plexus Papilloma ◽  
Central Nervous System Tumor ◽  
Resonance Imaging ◽  
Spinal Lesions ◽  
System Tumor ◽  
Plexus Papilloma ◽  
Rule Out

✓Choroid plexus papilloma is a benign central nervous system tumor that occasionally spreads along the subarachnoid space. The authors report the case of a 49-year-old man who presented with back pain 19 years after resection of a posterior fossa choroid plexus papilloma. Magnetic resonance imaging revealed multiple spinal lesions without any residual or recurrent intracranial tumor. All spinal lesions were resected and histologically diagnosed as atypical choroid plexus papilloma. The authors suggest that patients in whom choroid plexus papilloma is diagnosed should undergo total neuraxis imaging at the time of initial diagnosis as well as periodic follow-up examinations after resection to rule out drop metastases.

scholarly journals Prenatal Diagnosis of Intracranial Tumors and the Difficulties in Prognostication: A Report of Three Cases

2015 ◽  
Vol 6 (2) ◽  
pp. 88-91
Author(s):  
Lavanya Rai ◽  
Akhila Vasudeva ◽  
Sapna V Amin ◽  
Rajagopal Kadavigere ◽  
Katta M Girisha
Keyword(s):  
Prenatal Diagnosis ◽  
Choroid Plexus ◽  
Choroid Plexus Papilloma ◽  
Good Prognosis ◽  
Neurological Involvement ◽  
Intracranial Tumors ◽  
Prenatal Mri ◽  
First Case ◽  
Rule Out

ABSTRACT Prenatal diagnosis of intracranial tumors generally implies a poor prognosis. We present three such cases, where prognostication was difficult. We attempted to correlate our prenatal counseling with postnatal follow-up/postabortal diagnosis. In the first case, tumor was diagnosed at 37 weeks. Ultrasound and fetal/neonatal MRI suggested a malignant intraventricular tumor. Anticipating guarded prognosis, parents refused neurosurgical intervention. At 1 year, child has normal neurodevelopment. Further magnetic resonance imagings (MRIs) show tumor shrinkage, pointing to a benign tumor. In case two, a choroid plexus tumor was diagnosed at midtrimester anomaly scan. Since it was difficult to rule out a malignant tumor, pregnancy was terminated. However, MRI, autopsy, and histopathology confirmed a choroid plexus papilloma, which is known to have good prognosis. In case three, prenatal MRI showed features of neurological involvement in tuberous sclerosis. However child has no neurological manifestations at 1 year of age. Hence, prognostication of prenatally diagnosed brain tumors remains a challenge. How to cite this article Vasudeva A, Amin SV, Kadavigere R, Girisha KM, Rai L. Prenatal Diagnosis of Intracranial Tumors and the Difficulties in Prognostication: A Report of Three Cases. Int J Infertil Fetal Med 2015;6(2):88-91.

Treatment of third ventricular choroid plexus papilloma in an infant with embolization alone

2010 ◽  
Vol 6 (6) ◽  
pp. 579-582 ◽  
Author(s):  
Joshua J. Wind ◽  
Randy S. Bell ◽  
William O. Bank ◽  
John S. Myseros
Keyword(s):  
Choroid Plexus ◽  
Residual Disease ◽  
Recurrent Disease ◽  
Choroid Plexus Papilloma ◽  
Operative Intervention ◽  
Close Observation ◽  
Third Ventricular Tumor ◽  
Specific Scenario ◽  
Plexus Papilloma

The authors present the case of a 3-month-old boy with a third ventricular tumor consistent with a choroid plexus papilloma. This child presented with macrocephaly, irritability, inability to roll over, and vomiting. He was found to have an enlarged head circumference, a full and tense fontanel, splayed sutures, and forced downward gaze. Imaging revealed severe ventriculomegaly and a brightly enhancing third ventricular lesion consistent with papilloma. Treatment planning included placement of a ventriculoperitoneal shunt to treat hydrocephalus and to allow the child to grow prior to resection. Due to the vascular nature of these tumors and the age of this child, the tumor was embolized with a plan for eventual resection; however, embolization resulted in involution and total regression of the tumor. There is no residual disease at last follow-up of 16 months. In this specific scenario of a choroid plexus papilloma in an infant, when operative intervention may be technically difficult and associated with significant morbidity, embolization with close observation may be a valid treatment option. If used, the patient would need to be closely followed for evidence of residual or recurrent disease, which would require operative intervention.

Posterior fossa tumor with distinct choroid plexus papilloma and ependymoma components

2015 ◽  
Vol 34 (05) ◽  
pp. 132-135 ◽  
Author(s):  
Chunyu Cai ◽  
Bradley H. Stephens ◽  
Jeffrey R. Leonard ◽  
Sonika Dahiya
Keyword(s):  
Choroid Plexus ◽  
Posterior Fossa ◽  
Choroid Plexus Papilloma ◽  
Posterior Fossa Tumor ◽  
Plexus Papilloma

scholarly journals RARE-26. RETROSPECTIVE ANALYSIS OF PEDIATRIC CHOROID PLEXUS TUMORS

2020 ◽  
Vol 22 (Supplement_3) ◽  
pp. iii447-iii448
Author(s):  
Yoshiko Nakano ◽  
Atsufumi Kawamura ◽  
Yuko Watanabe ◽  
Ryuta Saito ◽  
Masayuki Kanemori ◽  
...  
Keyword(s):  
Choroid Plexus ◽  
Survival Rates ◽  
Choroid Plexus Papilloma ◽  
Clinical Information ◽  
Local Relapse ◽  
Current Status ◽  
Choroid Plexus Tumors ◽  
Li Fraumeni Syndrome ◽  
Plexus Papilloma

Abstract BACKGROUND Choroid plexus tumors (CPT) include choroid plexus papilloma (CPP), atypical choroid plexus papilloma (aCPP), and choroid plexus carcinoma (CPC). Because of their rarity, limited data are available on the current status of treatment and outcomes for pediatric CPTs. METHOD We retrospectively reviewed clinical information on patients with CPT patients aged between 0 and 30 years at diagnosis and were treated in 8 institutions in Japan. RESULTS Of forty-two cases initially diagnosed as CPT, 18 cases were reviewed by central pathologists. As a result, the diagnosis of CPC or aCPP in five cases were changed to other tumors including AT/RT and astroblastoma. The remaining 37 cases were subjected to analysis. Median age at diagnosis was two years (0 to 25) and the mean follow-up period was seven years. All 26 patients with CPP (n=20) or aCPP (n=6) underwent gross-total resection without adjuvant therapy. Of them 24 patients are alive without recurrence. Four patients of patients with CPC (n=11) died of cancer. Five patients including three patients experienced local relapse, achieved complete remission after resection of tumor plus chemoradiotherapy. All three patients with dissemination of CPC at diagnosis or relapse died of the disease. At least three patients were diagnosed with Li-Fraumeni syndrome: one died of medulloblastoma and one patient developed osteosarcoma. CONCLUSION Compared with the excellent prognosis of CPP, the survival rates for CPC, especially disseminated CPC are unsatisfactory. Our results also underline the importance of considering genetic testing of TP53 for patients with CPC.

scholarly journals Spinal drop of atypical choroid plexus papilloma in an adult patient: A case report and literature review

2020 ◽  
Vol 11 ◽  
pp. 409
Author(s):  
Diego Ochoa-Cacique ◽  
María Córdoba-Mosqueda ◽  
José Ramón Aguilar-Calderón ◽  
Martha Cristina Sánchez-Silva ◽  
Rosa María Vicuña-González ◽  
...  
Keyword(s):  
Choroid Plexus ◽  
Choroid Plexus Papilloma ◽  
Radicular Pain ◽  
Subtotal Resection ◽  
Resonance Imaging ◽  
Spinal Level ◽  
Total Resection ◽  
First Case ◽  
History Of

Background: Choroid plexus papillomas (CPPs) are benign extra-axial tumors that originate from the choroid plexus; these tumors rarely have metastases, being at the spinal level the location with few reported cases. Case Description: We report the case of a 48-year-old man with a history of atypical fourth ventricular CPP and gross total resection (GTR) in 2008. In 2015, he presented with radicular pain, decreased strength, and paresthesia in the left leg. Magnetic resonance imaging revealed a well-defined intradural ovoid lesion in the vertebral canal at the level of the L3-L4 intersomatic space. Subtotal resection of the tumor was performed. The patient recovered well, with relief of pain and no neurological deficit. A literature research few cases of CPP metastasis in adults. We describe here a fifth-decade male patient with a lumbar neoplasm, which according to the histopathologic characteristics and location is the first case of an atypical papilloma implant of the choroid plexus at this spinal level. Conclusion: GTR of primary lesions and associated implants remains the gold standard for surgical treatment of CPP. Radiotherapy, stereotactic radiosurgery, and chemotherapy are adjuvant therapies for CPP but there is no definitive protocol for the management of implants. Proper follow-up of these patients is essential since spinal drop can appear many years after the initial presentation of CPP.

scholarly journals Atypical transformation in sacral drop metastasis from posterior fossa choroid plexus papilloma

2012 ◽  
Vol 2012 (aug22 1) ◽  
pp. bcr0120125681-bcr0120125681 ◽  
Author(s):  
M. Stuivenvolt ◽  
E. Mandl ◽  
J. Verheul ◽  
R. Fleischeuer ◽  
C. C. Tijssen
Keyword(s):  
Choroid Plexus ◽  
Posterior Fossa ◽  
Choroid Plexus Papilloma ◽  
Drop Metastasis ◽  
Plexus Papilloma

scholarly journals Choroid plexus papilloma of the fourth ventricle in a septuagenarian

2012 ◽  
Vol 03 (03) ◽  
pp. 402-404
Author(s):  
Alok A. Umredkar ◽  
Rajesh Chhabra ◽  
Aman Bal ◽  
Ashim Das
Keyword(s):  
Choroid Plexus ◽  
Posterior Fossa ◽  
Fourth Ventricle ◽  
Choroid Plexus Papilloma ◽  
Provisional Diagnosis ◽  
Geriatric Population ◽  
Choroid Plexus Papillomas ◽  
Plexus Papilloma ◽  
Posterior Fossa Lesion

ABSTRACTChoroid plexus papillomas (CPP) are most commonly found in children and rarely in adult. A very few cases are reported in geriatric population. We present a case of 72-year-old man with posterior fossa lesion operated with provisional diagnosis of metastasis, but turn out to be CPP.

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