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Zuo P, Mai Y, Jiang Z, Zhang B, Wang Y, Zhang M, Wu Z, Zhang J, Zhang L. Primary adult choroid plexus carcinomas: a single-center experience with a systematic review. Front Oncol 2023; 13:1260116. [PMID: 38023259 PMCID: PMC10651083 DOI: 10.3389/fonc.2023.1260116] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2023] [Accepted: 10/20/2023] [Indexed: 12/01/2023] Open
Abstract
Objective Primary adult choroid plexus carcinomas (PACPCs) are extremely rare brain tumors. The existing literature primarily comprises case reports, which limits our understanding of this uncommon disease. This study aims to describe the clinical characteristics and prognosis of PACPCs, as well as to identify optimal treatment strategies. Methods We conducted a comprehensive analysis of clinical data from 7 patients with PACPCs who underwent surgical treatment at the Department of Neurosurgery, Beijing Tiantan Hospital, between March 2011 and March 2023. Additionally, a thorough search of the PubMed database was performed using the keywords "choroid plexus carcinoma" or "choroid plexus carcinomas" within the time frame of August 1975 to April 2023, which yielded a total of 28 identified cases. Subsequently, we evaluated risk factors for progression-free survival (PFS) and overall survival (OS) based on the pooled cases. Results The pooled cohort, consisting of 7 cases from our institution and 28 cases from the literature, included 20 males and 15 females with a mean age of 44.3 ± 14.7 years (range: 21-73 years). Gross-total resection (GTR) and non-GTR were achieved in 22 (62.9%) and 13 (37.1%) patients, respectively. Radiotherapy and chemotherapy were administered to 29 (90.6%) and 13 (40.6%) patients, respectively. After a mean follow-up of 21.0 ± 26.7 months (range: 2-132 months), 18 patients were alive, and 11 patients had died. The multivariate Cox regression model demonstrated that non-GTR (HR 5.262, 95% CI 1.350-20.516, p=0.017) was a negative prognostic factor for OS. However, we did not find any risk factors for PFS. Conclusion Complete surgical resection should be considered as the primary treatment approach for this rare disease. Chemotherapy and radiotherapy appear to have limited effectiveness in treating this condition. Further research with large cohorts is needed to validate our conclusions.
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Affiliation(s)
- Pengcheng Zuo
- Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China
| | - Yiying Mai
- Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China
| | - Zhuang Jiang
- Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China
| | - Bochao Zhang
- Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China
| | - Yujin Wang
- Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China
| | - Mingxin Zhang
- Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China
| | - Zhen Wu
- Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China
| | - Junting Zhang
- Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China
| | - Liwei Zhang
- Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China
- China National Clinical Research Center for Neurological Diseases, Beijing, China
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Zhang JJ, Rodriguez Quintero JC, Nahm JK, Bhattacharjee MB, Nunez LC, Riascos RF, Blanco AI, Day AL, Zhu JJ. Novel Adjuvant Targeted Approach for PTEN-Mutated Choroid Plexus Carcinoma in Adults: Case Report and Literature Review. JCO Precis Oncol 2023; 7:e2300128. [PMID: 37535883 DOI: 10.1200/po.23.00128] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2023] [Revised: 05/12/2023] [Accepted: 06/28/2023] [Indexed: 08/05/2023] Open
Abstract
53-year-old female, with CPC and PTEN mutation by NGS, was successfully treated with everolimus and brain radiation
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Affiliation(s)
- Jackie J Zhang
- Department of Neurosurgery, McGovern Medical School, The University of Texas Health Science Center, Houston, TX
- Chicago Medical School, Rosalind Franklin School of Medicine and Science, North Chicago, IL
- Lone Star Family Health Center, Conroe, TX
| | - Juan C Rodriguez Quintero
- Department of Neurosurgery, McGovern Medical School, The University of Texas Health Science Center, Houston, TX
- Department of Neurology, McGovern Medical School, The University of Texas Health Science Center, Houston, TX
| | - Joshua K Nahm
- Department of Neurosurgery, McGovern Medical School, The University of Texas Health Science Center, Houston, TX
| | - Meenakshi B Bhattacharjee
- Department of Pathology, McGovern Medical School, The University of Texas Health Science Center, Houston, TX
| | - Luis C Nunez
- Department of Diagnostic and Interventional Imaging, McGovern Medical School, The University of Texas Health Science Center, Houston, TX
| | - Roy F Riascos
- Department of Diagnostic and Interventional Imaging, McGovern Medical School, The University of Texas Health Science Center, Houston, TX
| | - Angel I Blanco
- Department of Neurosurgery, McGovern Medical School, The University of Texas Health Science Center, Houston, TX
| | - Arthur L Day
- Department of Neurosurgery, McGovern Medical School, The University of Texas Health Science Center, Houston, TX
| | - Jay-Jiguang Zhu
- Department of Neurosurgery, McGovern Medical School, The University of Texas Health Science Center, Houston, TX
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NAGAI A, KANAMORI M, SHIMODA Y, WATANABE M, SAITO R, KUMABE T, AIZAWA T, TOMINAGA T. Delayed Recurrence of Choroid Plexus Carcinoma in the Sacral Spinal Cord 17 Years after Its Initial Presentation. NMC Case Rep J 2022; 9:301-306. [PMID: 36263187 PMCID: PMC9534564 DOI: 10.2176/jns-nmc.2022-0056] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2022] [Accepted: 06/24/2022] [Indexed: 11/20/2022] Open
Affiliation(s)
- Arata NAGAI
- Department of Neurosurgery, Tohoku University Graduate School of Medicine
| | - Masayuki KANAMORI
- Department of Neurosurgery, Tohoku University Graduate School of Medicine
| | - Yoshiteru SHIMODA
- Department of Neurosurgery, Tohoku University Graduate School of Medicine
| | | | - Ryuta SAITO
- Department of Neurosurgery, Tohoku University Graduate School of Medicine
| | - Toshihiro KUMABE
- Department of Neurosurgery, Tohoku University Graduate School of Medicine
| | - Toshimi AIZAWA
- Department of Orhopaedic Surgery, Tohoku University Graduate School of Medicine
| | - Teiji TOMINAGA
- Department of Neurosurgery, Tohoku University Graduate School of Medicine
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Jha S, Purkait S, Dash C, Lalsangzuala C. Choroid Plexus Carcinoma with Hyaline Globules: An Uncommon Histological Finding. Fetal Pediatr Pathol 2022; 41:464-467. [PMID: 32969735 DOI: 10.1080/15513815.2020.1822966] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
Background: Choroid plexus carcinoma (CPC) is a predominately pediatric CNS tumor with a variety of histologic features, with hyaline globules only reported once previously. Case report: A two-year-old male child presented with headaches, vomiting, and lower limb weakness. Radiological examination revealed a right temporoparietal intra-axial tumor. On histology, it showed features of CPC containing multiple eosinophilic intracytoplasmic and extracellular hyaline globular structures, which were PAS-positive, diastase resistant, and immunoreactive for alpha-fetoprotein (AFP). Conclusion: CPC can occasionally show AFP immune-positive hyaline globules.
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Affiliation(s)
- Shilpy Jha
- Pathology and Lab Medicine, AIIMS, Bhubaneswar, India
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Maillie L, Salgado LR, Lazarev S. A systematic review of craniospinal irradiation for leptomeningeal disease: past, present, and future. Clin Transl Oncol 2021; 23:2109-2119. [PMID: 33881707 DOI: 10.1007/s12094-021-02615-8] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2021] [Accepted: 03/30/2021] [Indexed: 11/24/2022]
Abstract
PURPOSE Leptomeningeal disease (LMD) is a rare but deadly complication of cancer in which the disease spreads to the cerebrospinal fluid and seeds the meninges of the central nervous system (CNS). Craniospinal irradiation (CSI) involves treatment of the entire CNS subarachnoid space and is occasionally used as a last-resort palliative therapy for LMD. METHODS This review examined literature describing the role of CSI for LMD from solid and hematologic malignancies in adults. A search for studies published until September 1, 2020 was conducted using PubMed database. RESULTS A total of 262 unique articles were identified. Thirteen studies were included for analysis in which a total of 275 patients were treated with CSI for LMD. Median age at time of irradiation was 43 years, and most patients had KPS score of 70 and higher. The most common cancers resulting in LMD were acute lymphocytic leukemia, breast cancer, and acute myelogenous leukemia. Median CSI dose was 30 Gy and 18% of patients were treated with proton radiation. 52% of patients had stable-to-improved neurologic symptoms. Median overall survival for the entire cohort was 5.3 months. Patients treated with marrow-sparing proton radiation had median OS of 8 months. The most common treatment toxicities were hematologic and gastrointestinal events. CONCLUSIONS Despite advances in systemic and radiation therapies, LMD remains a devastating end-stage complication of some malignancies. Treatment-related toxicities can be a significant barrier to CSI delivery. In select patients with LMD, marrow-sparing proton CSI may provide safer palliation of symptoms and prolong survival.
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Affiliation(s)
- L Maillie
- Department of Radiation Oncology, Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - L R Salgado
- Department of Radiation Oncology, Elmhurst Hospital, New York, NY, USA
| | - S Lazarev
- Department of Radiation Oncology, Icahn School of Medicine at Mount Sinai, New York, NY, USA. .,New York Proton Center, New York, NY, USA.
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Witten AJ, Mendenhall SK, DeWitt LS, Vortmeyer A, Cohen-Gadol A. Cerebellopontine Angle Primary Choroid Plexus Carcinoma Present in an Adult: Case Report and Literature Review. Cureus 2021; 13:e13268. [PMID: 33717766 PMCID: PMC7954515 DOI: 10.7759/cureus.13268] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
Choroid plexus tumors (CPTs) are rare intraventricular neoplasms that primarily occur in children and are rare in adults. Of the CPT subtypes, choroid plexus carcinomas (CPC) are highly aggressive and malignant and of World Health Organization (WHO) Grade III. Dissemination through the cerebrospinal fluid space is the inevitable natural course of the disease. In this case report, we present a 33-year-old female with a past medical history notable for schizophrenia and bipolar disease who suffered from left-sided acute vision loss and hearing loss. Magnetic resonance imaging (MRI) demonstrated multiple enhancing masses found in the left cerebellopontine angle (CPA), right internal auditory canal, the atrium of the left ventricle, and the left foramen of Monroe. After surgical decompression of the CPA tumor, the permanent final pathology was consistent with CPC. To our knowledge, this is the first reported case of a primary CPC occurring within the CPA in an adult. The unique presentation and progression of this rare adult-onset CPC provide insight for the diagnosis and treatment of other rare instances of CPTs.
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Affiliation(s)
- Andrew J Witten
- Neurological Surgery, Indiana University School of Medicine, Indianapolis, USA
| | - Stephen K Mendenhall
- Department of Neurological Surgery, Indiana University Health, Indianapolis, USA
| | - Logan S DeWitt
- Department of Pathology and Laboratory Medicine, Indiana University Health, Indianapolis, USA
| | - Alexander Vortmeyer
- Department of Pathology and Laboratory Medicine, Indiana University Health, Indianapolis, USA
| | - Aaron Cohen-Gadol
- Department of Neurological Surgery, Indiana University Health, Indianapolis, USA
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Crea A, Bianco A, Cossandi C, Forgnone S, Fornaro R, Crobeddu E, Marino D, Piras G, Scalia G, Saglietti C, Boldorini R, Galzio R, Panzarasa G. Choroid Plexus Carcinoma in Adults: Literature Review and First Report of a Location into the Third Ventricle. World Neurosurg 2020; 133:302-307. [DOI: 10.1016/j.wneu.2019.10.051] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2019] [Revised: 10/06/2019] [Accepted: 10/08/2019] [Indexed: 11/17/2022]
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