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CHOROID PLEXUS CARCINOMA: A CASE REPORT

During the 1987-1995 period, 267 children with intracranial tumours were operated on at Department of Neurosurgery. The diagnosis of choroid plexus papilloma was made in two children, and of choroid plexus carcinoma in one child aged 45 days. Primary carcinoma of choroid plexus is a rare tumour of the central nervous system, with a higher frequency in children (up to 0, 5%). Two-dimensional transfontanellar echography and computed tomography (CT) were used for making the diagnosis. The 45-day-old male infant was operated on for obstructive hydrocephalus. Upon the placement of ventriculoperitoneal drainage according to Pudenz, removal of the tumour located in the right lateral ventricle was performed by craniotomy. Pathology and histology of the material taken on several occasions verified the diagnosis of choroid plexus carcinoma. During the postoperative course oncologists from the Children Hospital carried out chemotherapy, with eight therapy cycles in total. Follow-up and CT examinations showed a relapse of choroid plexus carcinoma at the age of 18 months. The relapse of choroid plexus carcinoma spreading almost throughout the system of lateral brain ventricles bilaterally, was removed by recraniotomy. Presentation of the case of this rare choroid plexus carcinoma at the age of only 45 days confirms the reports of other authors on tumour localisation in lateral cerebral ventricles and clinical signs of increased intracranial pressure and seizures. Other authors report a average survival rate of 9 months.

CHOROID PLEXUS CARCINOMA

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