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Manual Segmentation of the Human Choroid Plexus Using Brain MRI
Published on: December 15, 2023
Unusual radiologic findings and pathologic growth patterns on choroid plexus papillomas
Tae-Wan Kim1, Tae-Young Jung, Shin Jung
1Department of Neurosurgery, Chonnam National University Research Institute of Medical Sciences, Chonnam National University Hwasun Hospital & Medical School, Gwangju, Korea.
Journal of Korean Neurosurgical Society
|July 14, 2012
Summary
Choroid plexus papillomas (CPPs) can present with unusual imaging features, sometimes mimicking other brain tumors. These atypical CPPs often correlate with combined papillary and solid or tubular growth patterns on pathology.
Area of Science:
- Neurosurgery
- Neuroradiology
- Neuropathology
Background:
- Choroid plexus papillomas (CPPs) are typically benign tumors with characteristic imaging and pathological findings.
- However, atypical presentations can occur, posing diagnostic challenges.
Purpose of the Study:
- To analyze the radiologic findings and corresponding pathologic growth patterns of choroid plexus papillomas (CPPs).
- To investigate unusual presentations of CPPs and their diagnostic implications.
Main Methods:
- Retrospective analysis of radiologic findings (location, size, enhancement, calcifications, hydrocephalus) and pathologic growth patterns (papillary, papillary and solid, papillary and tubular) in 10 patients with CPPs.
- Correlation of imaging features with surgical and follow-up data.
Main Results:
- Pediatric CPPs typically presented as homogeneous, mottle-like masses with hydrocephalus and a papillary growth pattern.
- Adult CPPs showed more varied locations and sizes, with some exhibiting heterogeneous enhancement and combined papillary and solid/tubular growth patterns.
- No recurrences were observed during a median follow-up of 21.3 months.
Conclusions:
- CPPs can exhibit unusual radiologic findings that may complicate preoperative diagnosis.
- Atypical imaging features in CPPs are associated with combined pathologic growth patterns.
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