Quinones-Hinojosa Alfredo, Chang Edward F, Khan Saad A, Lawton Michael T, McDermott Michael W
Department of Neurosurgery, University of California San Francisco, San Francisco, California 94143-0112, USA.
Can J Neurol Sci. 2004 Feb;31(1):115-20. doi: 10.1017/s0317167100002948.
Metastatic renal cell carcinoma to the choroid plexus is a rare condition and can be easily confused with meningioma.
A 61-year-old female presented with progressive neurologic deterioration and MRI findings of obstructive hydrocephalus and a homogeneously contrast enhancing 3 cm oval mass in the trigone of the left lateral ventricle.
Despite radiologic, intraoperative gross features, and frozen pathology all consistent with meningioma, the final pathology revealed metastatic renal cell carcinoma.
Renal cell carcinoma metastatic to the choroid plexus can mimic intraventricular meningioma. We present a review of the literature and comparison of the radiological features of meningiomas and metastatic renal cell carcinoma. We also discuss the use of an under-utilized technique, the contralateral transcallosal approach, in the surgical treatment of this intraventricular lesion.
