Intramedullary papillary ependymoma with choroid plexus differentiation and cerebrospinal fluid dissemination to the brain Case report

被引:10
作者
Dulai, Mohanpal S. [1 ]
Caccamo, Dario V. [5 ]
Briley, Anita L. [1 ]
Edwards, Michael S. B. [2 ]
Fisher, Paul C. [2 ,3 ,4 ]
Lehman, Norman L. [1 ]
机构
[1] Stanford Univ, Med Ctr, Dept Pathol, Stanford, CA 94305 USA
[2] Stanford Univ, Med Ctr, Dept Neurosurg, Stanford, CA 94305 USA
[3] Stanford Univ, Med Ctr, Dept Neurol, Stanford, CA 94305 USA
[4] Stanford Univ, Med Ctr, Dept Pediat, Stanford, CA 94305 USA
[5] Sutter Med Ctr, Dept Pathol, Sacramento, CA USA
基金
美国国家卫生研究院;
关键词
papillary ependymoma; spinal ependymoma; choroid plexus tumor; metastatic ependymoma; papillary tumor of the pineal region; specialized ependyma of the circumventricular organs; DROP METASTASIS; PINEAL REGION; TUMORS; MANAGEMENT; FEATURES;
D O I
10.3171/2009.12.PEDS09130
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
This 8-year-old girl presented with a papillary ependymoma in the thoracic spinal cord. Resection was followed by recurrence at the primary site and later in the lumbosacral thecal sac, followed by cerebrospinal fluid dissemination to the brain approximately 5 years after her initial presentation. The tumor showed cytological and immunohistochemical features overlapping those of classic ependymomas and choroid plexus tumors similar to those seen in uncommon supratentorial papillary ependymomas. also known as papillary tumors of the pineal region. The histopathological and clinical courses of this rare spinal papillary ependymoma exhibiting mixed ependymal and choroid plexus like differentiation are discussed. (DOI: 10.3171/2009.12.PEDS09130)
引用
收藏
页码:511 / 517
页数:7
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