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Lateral ventricle's choroid plexus tumors surgery in children: how I do it
Domenico d'Avella1, Marta Rossetto, Luca Denaro
1Department of Neurosciences, University of Padua, via Giustiniani, 5, 35128, Padua, Italy, domenico.davella@unipd.it.
Insights
Choroid plexus tumors (CPTs) are brain neoplasms in children. Microsurgical resection aims for complete tumor removal and restoring cerebrospinal fluid (CSF) circulation for better outcomes.
Area of Science:
- Neuro-oncology
- Pediatric Neurosurgery
Background:
- Choroid plexus tumors (CPTs) are intraventricular brain neoplasms.
- CPTs constitute up to 4% of pediatric brain tumors.
- Tumors range from benign papillomas to malignant carcinomas.
Purpose of the Study:
- To describe the surgical approach for CPTs.
- To highlight complications related to cerebrospinal fluid (CSF) circulation.
Main Methods:
- Surgical resection of CPTs.
- Focus on CSF dynamics and management.
Main Results:
- Microsurgical resection is the primary treatment.
- Successful resection requires addressing CSF circulation issues.
Conclusions:
- Complete tumor removal is the goal of microsurgical resection.
- Restoring physiological CSF circulation is crucial for patient outcomes.
Background:
Choroid plexus tumors (CPTs) are intraventricular lesions originating from ventricular neuroepithelium and represent up to 4% of brain neoplasms affecting pediatric population. They are more frequently benign papillomas, but malignant carcinomas can sometimes occur.
Method:
The authors present a description of surgical approach for CPTs, particularly focusing on the complications related to the cerebrospinal fluid (CSF) circulation, which may affect outcome.
Conclusion:
Microsurgical resection represents the first line treatment for CPTs. The goal is the complete removal of the tumor and the restoration of a physiological CSF circulation.

