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Surg Neurol ; 65(6): 604-10, 2006 Jun.
Article in English | MEDLINE | ID: mdl-16720185

ABSTRACT

BACKGROUND: Intravertricular papillary neoplasms are derived from choroid plexus epithelium. Although choroid plexus tumors account for 0.4% to 0.6% of all brain tumors, they represent 2% to 4%. Approximately 80% of choroid plexus carcinomas arise in children. CASES DESCRIPTION: We describe 3 cases of choroid plexus papilloma (CPP) with profuse psammomatous bodies and calcifications that have lost their normal papillary architecture. Immunohistochemistry was positive for glial fibrillary acidic protein in 2 cases, and proliferating cellular nuclear antigen index was higher compared with regular CPPs. All 3 patients were female and were 12, 40, and 48 years old, respectively. CONCLUSION: We describe psammomatous CPPs and suggest a difference from CPPs because of the more aggressive clinical course, and higher nuclear proliferation index (proliferating cellular nuclear antigen) than the CPPs that lack psammoma bodies.


Subject(s)
Papilloma, Choroid Plexus/pathology , Adult , Cerebral Hemorrhage/etiology , Child , Craniotomy , Female , Humans , Intraoperative Complications , Middle Aged , Neurosurgical Procedures , Papilloma, Choroid Plexus/diagnostic imaging , Papilloma, Choroid Plexus/surgery , Postoperative Complications , Tomography, X-Ray Computed
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