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Incidental choroid plexus papilloma in a child: A difficult decision
Avra S Laarakker1, Jonathan Nakhla2, Andrew Kobets2
1Department of Neurosurgery, Ruth and Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.
Surgical Neurology International
|June 14, 2017
Summary
Pediatric choroid plexus tumors (CPT) are usually symptomatic. This case highlights a rare incidental finding of an asymptomatic CPT, prompting discussion on optimal treatment strategies for such cases.
Area of Science:
- Pediatric neurosurgery
- Neuro-oncology
- Clinical case study
Background:
- Choroid plexus tumors (CPT) in children typically present with symptoms like hydrocephalus or seizures.
- CPTs range from benign choroid plexus papillomas (CPP) to malignant choroid plexus carcinomas (CPC).
- Surgical resection is the standard treatment for symptomatic CPP.
Observation:
- A young female incidentally found to have a CPT during evaluation for head trauma.
- The patient was asymptomatic with no neurological deficits or hydrocephalus.
- Successful surgical tumor removal with no recurrence at 1-year follow-up.
Findings:
- This case represents a rare instance of an asymptomatic CPT in a pediatric patient.
- The incidental discovery challenges typical presentation patterns.
- Treatment decisions for asymptomatic CPTs are currently individualized.
Implications:
- Highlights the need for evidence-based guidelines for managing asymptomatic pediatric CPTs.
- Suggests a potential shift in diagnostic and treatment paradigms.
- Encourages further research and clinical discussion on CPT management in asymptomatic children.
