Safdari H, Bourbotte G, Frerebeau P, Castan P
Surg Neurol. 1984 Sep;22(3):243-8. doi: 10.1016/0090-3019(84)90007-7.
A case of histologically proven benign choroid plexus papilloma of the third ventricle in a 4-month-old male child is reported. The clinical symptoms and the neuroradiologic findings were those of a supratentorial hydrocephalus. A shunting procedure was performed after refusal by the family of a direct surgical approach. Subsequently there was a four- to fivefold increase in volume of this tumor in less than 4 months under decreased cerebrospinal fluid pressure. The purpose of this report is first to add a case to 27 cases of papilloma of the choroid plexus of third ventricle reported in the medical literature. Secondly to underline a possible influence of intraventricular pressure on the growth of a histologically benign intraventricular papilloma. Subsequently, the question of radiation therapy may be raised, if total removal of the papilloma is not obtained, especially in view of decreased cerebrospinal fluid pressure provided by the previous shunting procedure.
本文报道了一例4个月大男童经组织学证实的第三脑室良性脉络丛乳头状瘤。临床症状和神经放射学表现为幕上脑积水。在患儿家属拒绝直接手术治疗后，进行了分流手术。随后，在脑脊液压力降低的情况下，该肿瘤在不到4个月的时间里体积增大了四到五倍。本报告的目的一是在医学文献报道的27例第三脑室脉络丛乳头状瘤病例中增加一例；二是强调脑室内压力对组织学上为良性的脑室内乳头状瘤生长可能产生的影响。随后，如果不能完全切除乳头状瘤，尤其是考虑到先前分流手术导致脑脊液压力降低，可能会引发放射治疗的问题。
