Isolated Lumbar Atypical Choroid Plexus Papilloma: A Case Report
TURKISH NEUROSURGERY, vol.32, no.3, pp.508-512, 2022 (SCI-Expanded, Scopus)
- Publication Type: Article / Article
- Volume: 32 Issue: 3
- Publication Date: 2022
- Doi Number: 10.5137/1019-5149.jtn.34938-21.1
- Journal Name: TURKISH NEUROSURGERY
- Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, EMBASE, MEDLINE
- Page Numbers: pp.508-512
- Keywords: Atypical choroid plexus papilloma, Intradural, Lumbar, Single
- Ankara University Affiliated: Yes
Abstract
AIM: To report the first case of an isolated lumbar grade II atypical choroid plexus papilloma (CPP). CASE REPORT: A 42-year-old man was admitted to the hospital because of back and leg pain. No urinary or rectal dysfunction was detected. Lumbar magnetic resonance imaging (MRI) showed a well-circumscribed, contrast-enhancing, intradural extramedullary mass at L2-3. He underwent L2 and L3 partial laminectomies for tumor resection and complete resection was achieved without causing neurological deficit. Histopathologic examination of the tumor resulted in a diagnosis of grade II atypical CPP. The Ki-67 staining index was 7%. No lesion was detected on postoperative craniospinal MRI. CONCLUSION: Isolated lumbar atypical CPP in the lumbar region has not been previously reported. In the presence of a single spinal lesion, the diagnosis of CPP should be considered. Unlike metastatic and synchronous tumors, the pathogenesis of isolated choroid plexus tumors within the spinal canal has not been explained.