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Choroid plexus tumours: a surgically treated series.
M Barbosa1, O Rebelo, P Barbosa
1Department of Neurosurgery, Coimbra's University Hospital (HUC), Portugal.
Neurocirugia (Asturias, Spain)
|November 15, 2001
Summary
Choroid plexus tumours, rare in adults, present diagnostic and management challenges. Surgical treatment is primary, but recurrence necessitates long-term patient follow-up.
Area of Science:
- Neurosurgery
- Neuropathology
- Oncology
Background:
- Choroid plexus tumours (carcinomas and papillomas) are rare intracranial neoplasms.
- These tumours pose significant diagnostic and management challenges, particularly in adult patients.
Purpose of the Study:
- To review surgical treatment outcomes for choroid plexus tumours.
- To analyze clinical, radiological, pathological, and follow-up data from a series of surgically treated cases.
Main Methods:
- Retrospective analysis of nine surgically treated choroid plexus tumour cases over 18 years.
- Review of clinical charts, neuroradiological imaging, surgical techniques, neuropathology, and patient follow-up.
Main Results:
- Complete tumour removal was achieved in most cases, with recurrence noted in two patients (one carcinoma, one papilloma).
- Morbidity was notably associated with posterior fossa tumour locations.
- Hydrocephalus was a common complication, making the need for permanent cerebrospinal fluid (CSF) drainage unpredictable.
Conclusions:
- Surgical management is the mainstay for these rare tumours.
- Long-term follow-up is crucial for patients with choroid plexus tumours due to the potential for recurrence.
- Careful monitoring is required to manage associated hydrocephalus and predict the need for CSF drainage.