Supratentorial, extraventricular choroid plexus carcinoma in an adult: case report.
OBJECTIVE
Choroid plexus carcinoma (CPCa) is an uncommon tumor rarely occurring in patients older than 2 years of age. The case reported herein represents the first documented example of a primary supratentorial, extraventricular CPCa in an adult. The scant literature regarding this topic is reviewed.


METHODS
A 68-year-old woman presented with transient expressive aphasia. Magnetic resonance imaging demonstrated an avidly enhancing, left temporal, extra-axial mass with associated parenchymal cysts.


METHODS
The tumor was gross-totally removed via a frontotemporal craniotomy. A diagnosis of CPCa was made on histological, immunohistochemical, and ultrastructural grounds. Postoperatively, the patient was treated by local radiotherapy and temozolomide. A magnetic resonance imaging scan 44 months after surgery showed no evidence of residual or recurrent tumor.


CONCLUSIONS
CPCa infrequently affects adults. Only rarely does it present as a supratentorial, extraventricular mass. Resection is the mainstay of therapy. Adjuvant radiation and chemotherapy are rational treatment options.
Lozier
Alan P
AP
Department of Neurosurgery, Dean Clinic, Madison, Wisconsin 53715, USA. alan.lozier@deancare.com
Arbaje
Yamil M
YM
Scheithauer
Bernd W
BW
D000368:Aged; D018906:Antineoplastic Agents, Alkylating / Q000627:therapeutic use; D001921:Brain / Q000473:pathology / Q000503:physiopathology / Q000601:surgery; D002277:Carcinoma / Q000473:pathology* / Q000503:physiopathology / Q000601:surgery; D002831:Choroid Plexus / Q000473:pathology* / Q000503:physiopathology / Q000601:surgery; D016545:Choroid Plexus Neoplasms / Q000473:pathology* / Q000503:physiopathology / Q000601:surgery; D003399:Craniotomy; D003606:Dacarbazine / Q000031:analogs & derivatives / Q000627:therapeutic use; D004334:Drug Administration Schedule; D005260:Female; D006801:Humans; D020547:Lateral Ventricles / Q000473:pathology / Q000601:surgery; D008279:Magnetic Resonance Imaging; D019635:Neurosurgical Procedures; D011878:Radiotherapy; D000077204:Temozolomide; D013702:Temporal Lobe / Q000473:pathology / Q000601:surgery; D016896:Treatment Outcome
D018906:Antineoplastic Agents, Alkylating; D003606:Dacarbazine; D000077204:Temozolomide