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起源于颞角并伴有双侧分泌过多性脑积水的脉络丛乳头状瘤:一例报告及文献复习

Choroid Plexus Papilloma Arising From the Temporal Horn With a Bilateral Hypersecretory Hydrocephalus: A Case Report and Review of Literature.

作者信息

Mohanty Sureswar, Rout Suman Saurav, Sarangi Gouri Sankar, Devi Kumudini

机构信息

Department of Neurosurgery, IMS and SUM Hospital, Siksha 'O' Anusandhan University, Kalinga nagar, Bhubaneswar 751003, Odisha, India.

Department of General Surgery, IMS and SUM Hospital, Siksha 'O' Anusandhan University, Kalinga nagar, Bhubaneswar 751003, Odisha, India.

出版信息

World J Oncol. 2016 Jun;7(2-3):51-56. doi: 10.14740/wjon967w. Epub 2016 Jul 1.

Abstract

Cerebrospinal fluid (CSF) within the cerebral ventricular system is secreted by a neuroepithelial tissue which is called as the choroid plexus. Tumors arising from these tissues are rare. Choroid plexus papillomas (CPPs) have been denoted as WHO grade I of the choroid plexus tumors. Among the intracranial tumors, neoplasms of the choroid plexus constitute around 0.36-0.6%. CPPs are mostly slow growing and cause symptoms due to mass effect and obstructive hydrocephalus, resulting in increased intracranial pressure. We report a case of CPP arising from the temporal horn in a 7-year-old girl presenting with progressive head enlargement since birth due to bilateral massive hydrocephalus without any obstruction, making it purely a hypersecretory hydrocephalus. A drainage procedure followed by complete tumor resection was carried out in our case and the patient showed marked relief from her symptoms.

摘要

脑室系统内的脑脊液(CSF)由一种称为脉络丛的神经上皮组织分泌。起源于这些组织的肿瘤很罕见。脉络丛乳头状瘤(CPPs)被归类为世界卫生组织(WHO)脉络丛肿瘤一级。在颅内肿瘤中,脉络丛肿瘤约占0.36 - 0.6%。CPPs大多生长缓慢,因占位效应和梗阻性脑积水导致症状,引起颅内压升高。我们报告一例7岁女孩颞角发生的CPPs病例,自出生以来因双侧大量脑积水且无任何梗阻而出现进行性头部增大,这纯粹是一种分泌过多性脑积水。我们的病例进行了引流手术,随后完整切除肿瘤,患者症状明显缓解。

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