Cargando…

Primary Choroid Plexus Papilloma over Sellar Region Mimicking with Craniopharyngioma: A Case Report and Literature Review

Choroid plexus papillomas (CPPs) are slow-growing and benign tumors, representing less than 1% of all intracranial neoplasms. They are predominantly located in the lateral ventricles in children, and in the fourth ventricle in adults. Primary CPP over sellar regions is extremely rare. There was prev...

Descripción completa

Detalles Bibliográficos
Autores principales: Kuo, Chao-Hung, Yen, Yu-Shu, Tu, Tsung-Hsi, Wu, Jau-Ching, Huang, Wen-Cheng, Cheng, Henrich
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6103389/
https://www.ncbi.nlm.nih.gov/pubmed/30140600
http://dx.doi.org/10.7759/cureus.2849
_version_ 1783349338672463872
author Kuo, Chao-Hung
Yen, Yu-Shu
Tu, Tsung-Hsi
Wu, Jau-Ching
Huang, Wen-Cheng
Cheng, Henrich
author_facet Kuo, Chao-Hung
Yen, Yu-Shu
Tu, Tsung-Hsi
Wu, Jau-Ching
Huang, Wen-Cheng
Cheng, Henrich
author_sort Kuo, Chao-Hung
collection PubMed
description Choroid plexus papillomas (CPPs) are slow-growing and benign tumors, representing less than 1% of all intracranial neoplasms. They are predominantly located in the lateral ventricles in children, and in the fourth ventricle in adults. Primary CPP over sellar regions is extremely rare. There was previously only one case reported in men. We report the case of a 43-year-old male who initially presented with bilateral temporal hemiapnosia. A brain magnetic resonance imaging (MRI) revealed heterogenous enhanced mass lesion with cyst component compressing upward onto the optic chiasm. A craniopharyngioma was initially suspected. Further endoscopic trans-sphenoidal surgery (ETS) was performed for total tumor resection. After surgery, the patient had visual field improved without tumor recurrence on post-operative MRI in clinical follow-up. Histopathological examination of the lesion confirmed the diagnosis of CPP, with fibrovascular cores covered by a single layer of cuboidal to columnar epithelial cells. CPP is a rare tumor without specific clinical patterns or imaging findings. Therefore, pre-operative differential diagnosis is difficult for this kind of tumor with complete separation from ventricular system. An ETS for total tumor resection provided effective treatment.
format Online
Article
Text
id pubmed-6103389
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher Cureus
record_format MEDLINE/PubMed
spelling pubmed-61033892018-08-23 Primary Choroid Plexus Papilloma over Sellar Region Mimicking with Craniopharyngioma: A Case Report and Literature Review Kuo, Chao-Hung Yen, Yu-Shu Tu, Tsung-Hsi Wu, Jau-Ching Huang, Wen-Cheng Cheng, Henrich Cureus Pathology Choroid plexus papillomas (CPPs) are slow-growing and benign tumors, representing less than 1% of all intracranial neoplasms. They are predominantly located in the lateral ventricles in children, and in the fourth ventricle in adults. Primary CPP over sellar regions is extremely rare. There was previously only one case reported in men. We report the case of a 43-year-old male who initially presented with bilateral temporal hemiapnosia. A brain magnetic resonance imaging (MRI) revealed heterogenous enhanced mass lesion with cyst component compressing upward onto the optic chiasm. A craniopharyngioma was initially suspected. Further endoscopic trans-sphenoidal surgery (ETS) was performed for total tumor resection. After surgery, the patient had visual field improved without tumor recurrence on post-operative MRI in clinical follow-up. Histopathological examination of the lesion confirmed the diagnosis of CPP, with fibrovascular cores covered by a single layer of cuboidal to columnar epithelial cells. CPP is a rare tumor without specific clinical patterns or imaging findings. Therefore, pre-operative differential diagnosis is difficult for this kind of tumor with complete separation from ventricular system. An ETS for total tumor resection provided effective treatment. Cureus 2018-06-20 /pmc/articles/PMC6103389/ /pubmed/30140600 http://dx.doi.org/10.7759/cureus.2849 Text en Copyright © 2018, Kuo et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Pathology
Kuo, Chao-Hung
Yen, Yu-Shu
Tu, Tsung-Hsi
Wu, Jau-Ching
Huang, Wen-Cheng
Cheng, Henrich
Primary Choroid Plexus Papilloma over Sellar Region Mimicking with Craniopharyngioma: A Case Report and Literature Review
title Primary Choroid Plexus Papilloma over Sellar Region Mimicking with Craniopharyngioma: A Case Report and Literature Review
title_full Primary Choroid Plexus Papilloma over Sellar Region Mimicking with Craniopharyngioma: A Case Report and Literature Review
title_fullStr Primary Choroid Plexus Papilloma over Sellar Region Mimicking with Craniopharyngioma: A Case Report and Literature Review
title_full_unstemmed Primary Choroid Plexus Papilloma over Sellar Region Mimicking with Craniopharyngioma: A Case Report and Literature Review
title_short Primary Choroid Plexus Papilloma over Sellar Region Mimicking with Craniopharyngioma: A Case Report and Literature Review
title_sort primary choroid plexus papilloma over sellar region mimicking with craniopharyngioma: a case report and literature review
topic Pathology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6103389/
https://www.ncbi.nlm.nih.gov/pubmed/30140600
http://dx.doi.org/10.7759/cureus.2849
work_keys_str_mv AT kuochaohung primarychoroidplexuspapillomaoversellarregionmimickingwithcraniopharyngiomaacasereportandliteraturereview
AT yenyushu primarychoroidplexuspapillomaoversellarregionmimickingwithcraniopharyngiomaacasereportandliteraturereview
AT tutsunghsi primarychoroidplexuspapillomaoversellarregionmimickingwithcraniopharyngiomaacasereportandliteraturereview
AT wujauching primarychoroidplexuspapillomaoversellarregionmimickingwithcraniopharyngiomaacasereportandliteraturereview
AT huangwencheng primarychoroidplexuspapillomaoversellarregionmimickingwithcraniopharyngiomaacasereportandliteraturereview
AT chenghenrich primarychoroidplexuspapillomaoversellarregionmimickingwithcraniopharyngiomaacasereportandliteraturereview