PDF(Pubmed)
Abstract：
Choroid plexus papillomas are rare brain neoplasms, primarily observed in children, and typically manifest with symptoms indicative of heightened intracranial pressure and cerebral irritation. In addition, the tumor\'s localization varies with the patient\'s age, and diagnostic and therapeutic approaches predominantly rely on imaging findings and surgical interventions, with histopathological examination being essential for confirmation. This study outlines a unique instance of choroid plexus papilloma in a 30-year-old female, who presented with severe headache and vomiting, subsequently revealing hydrocephalus on Brain CT. Remarkably, the tumor was identified in the Foramen of Monro, an exceedingly rare and unreported location in adults. Notably, the patient underwent successful endoscopic resection without complications, a technique sparsely documented in similar cases. Choroid plexus papilloma, predominantly afflicting children, displays varied tumor locations depending on the patient\'s age. Our report highlights an exceptional case with an atypical tumor location that was not reported before to our knowledge, and addressed through an innovative endoscopic resection method that was recently used in the management of such cases. This underscores the importance of considering diverse tumor presentations, as it has a favorable prognosis achievable through management, especially with the increasing number of reported cases. Moreover, it advocates for the adoption of emerging endoscopic approaches, which exhibit promising outcomes.
摘要：
脉络丛乳头状瘤是罕见的脑肿瘤，主要在儿童身上观察到，通常表现为颅内压升高和脑刺激的症状。此外,肿瘤的定位随着患者的年龄而变化，诊断和治疗方法主要依赖于影像学发现和手术干预，组织病理学检查对确认至关重要。这项研究概述了一个30岁女性脉络丛乳头状瘤的独特例子，出现严重的头痛和呕吐，随后在脑部CT上显示脑积水。值得注意的是,肿瘤是在Monro的孔被发现的,在成年人中极为罕见且未报告的位置。值得注意的是,患者接受了成功的内镜切除术，没有并发症，在类似情况下很少记录的技术。脉络丛乳头状瘤,主要折磨儿童，根据患者的年龄显示不同的肿瘤位置。我们的报告强调了一个特殊的病例，非典型肿瘤位置，据我们所知，以前没有报道过，并通过一种创新的内窥镜切除方法解决，该方法最近用于处理此类病例。这强调了考虑不同肿瘤表现的重要性，因为它通过管理可以实现良好的预后，特别是随着报告病例的增加。此外，它提倡采用新兴的内窥镜方法，表现出有希望的结果。
