Papillomas of the Choroid Plexus

Wagenen, William P. Van

doi:10.1001/archsurg.1930.01150080027002

Cited by 56 publications

(5 citation statements)

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“…The remaining two cases (7%) were located in the third ventricle and in the cerebelloponfine angle respectively. We did not find the higher incidence of left ventricle tumours reported by others (16,28,29,38) amongst the choroid plexus papillomas situated in the lateral ventricles.…”

Section: Discussioncontrasting

confidence: 88%

“…On the other hand, tumour seeding in the present series did not seem to show a similar correlation with histological characteristics. This is well in keeping with the (3,12,15,18,19,32,33,38,41,42). The sole recurrence observed in the benign cases can, in our opinion, be explained by an unrecognized technical failure.…”

Section: Discussionsupporting

confidence: 80%

“…This limited experience does not allow any conclusion to be drawn. The usefulness of preoperative irradiation in decreasing the vascularity and the size of papilloma has been stressed (2,5,38), also in recent literature (7). This would seem to facilitate operation.…”

Section: -mentioning

confidence: 99%

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The surgical treatment of choroid plexus papillomas

Guidetti¹,

Spallone²

1981

Neurosurg. Rev.

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This paper reports the results of 27 choroid plexus papillomas surgically treated, out of 28 cases observed in the authors institute during the period 1952-1978. These were divided into two groups: a) those operated on before 1969; b) those operated on in 1969 and the following years, when microsurgical facilities were routinely employed. As a rule, neither ventricular shunting nor radiation therapy were used preoperatively. A total removal was attempted in all cases, and performed in all but three. The second group (1969-1978) showed better results as regards the number of totally removed tumours (92% against 87%), surgical deaths (16% against 31%), and long-term good results (67% against 44%). Considering both groups together, long-term good results were achieved in 15 patients (55%), followed up from 2 to 27 years. Radical operation is the treatment of choice for choroid plexus papilloma. As indicated by the author's experience, this produces satisfactory long-term results, whilst surgical mortality can be held within acceptable limits, provided that modern techniques are used properly. The value of radiation therapy, which in any event should be restricted to malignant cases, remains questionable.

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Section: Discussioncontrasting

confidence: 88%

Section: Discussionsupporting

confidence: 80%

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The surgical treatment of choroid plexus papillomas

Guidetti¹,

Spallone²

1981

Neurosurg. Rev.

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“…If we had performed a ventriculogram and located the tumour it is doubtful whether this child would have survived an immediate operation for its removal. On the other hand, we could have used high-voltage treatment to reduce the vascularity and size of the tumour, as did Van Wagenen (1930) in one of the two cases he describes. This might have allowed us to remove it at a later date.…”

Section: Commentmentioning

confidence: 99%

Papilloma of the choroid plexus

Lassman

1954

Journal of British Surgery

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30 per cent) had metastasized to the local lymphnodes at the time of death, and that in 2 more (making 40 per cent) lymph-nodes elsewhere were involved, although the ones nearest to the tumour had apparently escaped. On the other hand, there is a reasonable possibility that as many as 7 or even 9 of the cases had local metastases to lymph-nodes and 12 of them to some nodes, not necessarily the ones nearest to the primary growth. Metastasis to lungs occurred more commonly than to any other organ (47 per cent), a point which, incidentally, does suggest that these tumours are showing the typical behaviour of a group of sarcomata, but the next most common site was to the local lymph-nodes. The only other sites in which deposits were at all frequently seen were the liver (30 per cent) and the peritoneum (25 per cent), but it should be pointed out that 14 of the tumours (70 per cent) were in the catchment area of the inferior vena cava.It is thus clear that lymph-node metastases from these sarcomata were quite common at the time of death, and the general principles of tumour pathology render it likely that they were present at the stage of the disease at which surgery might have been contemplated. The frequency of lymphatic metastasis in this series is, however, rather higher than the average of the large series collected by Warren and Meyer (1938) from the literature.The carcinomata of the main series had metastasized to their local lymph-nodes in 44 per cent of cases, but although this figure is higher than that for sarcomata the difference does not reach conventional levels of significance (difference 14 per cent; s.e.i 10 per cent). If, however, this series is combined with that of Warren and Meyer (1938) (local nodal metastases present in 24 cases out of 257 = 9 per cent), the difference then becomes highly significant (difference 35 per cent ; s.e. 5 3) provided that the series are comparable. CONCLUSIONIt may therefore be concluded that while lymphatic metastasis is, as has long been known, rather commoner from carcinomata than from sarcomata, the incidence in the latter disease is by no means negligible and should be borne in mind when considering either pathological diagnosis or surgical treatment. The local lymph-nodes are second in frequency only to the lungs as a site for secondary sarcomatous deposits.

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“…Papillomas occur most frequently in infancy and, when supratentorial, at the trigone (Davis and Cushing 1925, Van Wagenen 1930, Posey 1942, Sandison 1956, Abbot et al 1957, Pec/~er et al 1958, Matson and Crofton 1960, Bohm and Strang 1961, De la Torte et al 1963. At pneumography this tumour is charaeterised by a filling defect at the level of the trigone, which may have lobulated contours; it has been shown angiographieally that the anterior ehoroidal artery supplies the turnout (Ernating 1955, Laurence et al 1961, Sears and Burnett 1961, Wilkins and Rutledge 1961, Hammon et al 1963).…”

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Radiological features of tumours of the lateral ventricles

Bernasconi

Cabrini

1967

Acta neurochir

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With 11 FiguresAmeli (1952) first showed the importance of vertebral angiogr~phy for visuMising the vaseul~risation of ~n intr~ventricular meningiom~ by the posterior ehoroidM arteries.The usefulness of e~rotid ~ngiography for diagnosing intraventricular meningiomas was pointed out by Guidetti andAlvisi (1952, 1954), who drew attention to the inerease in calibre of the anterior choroid~l artery which supplied the tumour. In the years that followed Migliavacca (1953, 1955), Aral~i (1954), Wall (1954), Cecotto andFrugoni (1955) and FaZk (1956) adduced ~ large body of evidence to support the diagnostic value of this angiographic pattern. Falk (1956) stated that thickening and lengthening of the anterior choroidM artery may also be found in gliomas growing partly in the ventricle. In the same year SjSgren (1956) described an ~nterior choroid~l artery contributing to the blood supply of a temporM glioma developing mainly in the ventricle. in this case the step-like deformity of the anterior part of the artery, frequently found in intraventricular meningiomas, was also visible. Later on, Lade~heim (1963)--of the school of Olivecrona--contributed an important case-series. The literature that followed this author's monograph was collected by Delandsheer (1965) in a congress report, in which he recognised the importance of changes in the ~nterior choroidal artery, but pointed out that it w~s impossible to differentiate between a meningioma and ~ p~pilloma of the trigone, and he went on to emphasise the importance of vertebral angiogr~phy in cases in which carotid angiography reveals only changes indicating a temporo-parietal space-occupying lesion. Of the most recent Italian contributions we would mention: Signore~li (1960), Smaltino et al. (1961), Davini and Baratta (1963), Moretlo and P~uchino (1965).Another feature, less characteristic but still very important for the diagnosis of intraventricular meningioma and one to which several authors (Ladenheim 1963, De~andsheer 1965 have drawn attention, is the downward displacement of the vein of Galen and of the internal

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Papillomas of the Choroid Plexus

Cited by 56 publications

References 10 publications

The surgical treatment of choroid plexus papillomas

The surgical treatment of choroid plexus papillomas

Papilloma of the choroid plexus

Radiological features of tumours of the lateral ventricles

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