Choroid plexus carcinoma

Case contributed by A.Prof Frank Gaillard

Presentation

Increasing head circumference.

Patient Data

Age: 3 months
Gender: Male

Transcranial ultrasound

Modality: Ultrasound

Transcranial ultrasound demonstrates hydrocephalus and a large intraventricular mass located in the trigone of the lateral ventricle on the left. 

The child went on to have a ventriculoperitoneal shunt inserted. 

CT brain

Modality: CT

CT obtained following insertion of a right sided VP shunt demonstrates a large vividly enhancing intraventricular mass, located at the trigone of the lateral ventricle on the left.

A biopsy was carried out and the child was imaged again a couple of months later. 

MRI brain 2 months later

Modality: MRI

MRI obtained only 2 month later demonstrates the mass to have markedly increased in size with intraventricular and leptomeningeal spread. The 4th ventricle is now trapped and ballooned. 

Case Discussion

Features are consistent with a choroid plexus carcinoma, even though the initial appearance would have also been consistent with a choroid plexus papilloma. The diagnosis was confirmed histologically. The child passed away shortly after the last scan. 

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Case Information

rID: 21121
Case created: 5th Jan 2013
Last edited: 2nd Nov 2015
Inclusion in quiz mode: Included

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