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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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Nagarajan K, Nitheesha Reddy V, Sreekesh P, Gopalakrishnan MS, Sravani N. Infantile presentation of villous hyperplasia of choroid plexus as a rare cause of hydrocephalus. J Pediatr Neurosci 2023. [DOI: 10.4103/jpn.jpn_12_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/31/2023] Open
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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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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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Tavallaii A, Keykhosravi E, Rezaee H, Kianbakht C. Role of available adjuvant therapies following surgical resection of atypical choroid plexus papilloma-a systematic review and pooled analysis. Neurooncol Adv 2020; 2:vdaa139. [PMID: 33305270 PMCID: PMC7712806 DOI: 10.1093/noajnl/vdaa139] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022] Open
Abstract
Background Atypical choroid plexus papilloma is a recently introduced entity with intermediate pathological characteristics. These tumors are relatively rare and the optimal management of these tumors is a matter of debate. Therefore, we performed a systematic review and pooled analysis about the effects of adjuvant therapies on outcome measures of these patients. We also compared these effects on totally and partially resected tumors and pediatric and adult populations. Methods A systematic search of 3 databases based on inclusion/exclusion criteria was performed. Data extraction was separately performed by 2 authors, and the summarized data were presented in the form of tables. Pooled estimates of different outcome measures were calculated for each adjuvant therapy and presented separately for studies with pediatric, adult, or mixed populations. Results A review of 14 included studies consisting of 144 patients revealed the effect of adjuvant treatment on reduction of tumor recurrence, metastasis, and reoperation rates and increasing survival rates in patients with subtotal tumor resection. This advantage was not seen in the case of gross total tumor resection. Almost all outcome measures were more favorable in the pediatric population. Conclusions It can be concluded that whenever gross total resection is not feasible, the implementation of adjuvant therapy can improve the outcome and prognosis. In other cases, it should be decided on an individual basis. Also, more aggressive behavior and higher rates of recurrence and mortality in the adult population suggest the consideration of more aggressive adjuvant treatments for adult patients.
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Affiliation(s)
- Amin Tavallaii
- Akbar Children Hospital, Neurosurgery Department, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Ehsan Keykhosravi
- Akbar Children Hospital, Neurosurgery Department, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Hamid Rezaee
- Neurosurgery Department, Mashhad University of Medical Sciences, Mashhad, Iran
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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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Kim T, Park MR, Hong EK, Gwak HS. Choroid Plexus Carcinoma in Adults: Two Case Reports. Brain Tumor Res Treat 2019; 7:48-52. [PMID: 31062532 PMCID: PMC6504752 DOI: 10.14791/btrt.2019.7.e23] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2018] [Revised: 03/10/2019] [Accepted: 03/28/2019] [Indexed: 11/20/2022] Open
Abstract
Choroid plexus tumors are uncommon brain tumors that primarily occur in children. Most of these tumors originate from the intraventricular area, and the most common clinicalpresentation is increased intracranial pressure. Dissemination through the cerebrospinal fluid space is the inevitable natural course of the disease. Here, we present 2 rare cases of adult choroid plexus carcinoma (CPC), each with distinct clinical presentation and progression. The first case was a 40-year-old male who presented with multiple intraventricular masses. After surgical biopsy, radiation and intrathecal chemotherapy failed to elicit any response. The patient progressed with spinal cord dissemination and expired 1 year later. The second case presented with visual disturbance, and brain MRI revealed a large ovoid juxtaventricular mass with peritumoral edema. This 49-year-old female patient underwent craniotomy for what was thought to be a high-grade glioma; however, the mass was connected to the choroid plexus at the operative field. Her pathology specimen was diagnosed as CPC, and adjuvant systemic chemotherapy was administered. She has now been free of recurrence for 10 months. The description of the presentation and progression of these rare adult-onset CPC provides insight for the diagnosis and treatment of other rare instances of choroid plexus tumors.
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Affiliation(s)
- Taehoon Kim
- Department of Neurosurgery, Seoul National University College of Medicine, Seoul, Korea
| | - Mee Rim Park
- Center for Pediatric Cancer, National Cancer Center, Goyang, Korea
| | - Eun Kyeong Hong
- Department of Pathology, National Cancer Center, Goyang, Korea
| | - Ho Shin Gwak
- Deaprtment of Cancer Control, National Cancer Center, Graduate School of Cancer Science and Policy, Goyang, Korea.
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