Summary
Choroid plexus papillomas account for only up to five per cent of the intracranial tumours occurring in childhood, the published cases representing only a minority of the scattered clinical experience. A review of 265 published cases, including seventeen personal examples, showed that the majority of the childhood tumours are in the lateral ventricles and behave clinically like cases of infancyonset hydrocephalus, but are often somewhat bizarre and frequently show identifiable features due largely to the tumour being physiologically active. The fourth ventricular tumours behave clinically like most other posterior fossa tumours. Almost all of the tumours are benign; only a few are histologically or clinically malignant, and seeding only occurs in occasional cases. If the tumours are recognized for what they are and special precautions are taken to compensate for their physiological behaviour and abolish for the frequently accompanying basal cistern block, choroid plexus papillomas could be one of the most rewarding childhood tumours to treat surgically.
Similar content being viewed by others
References
Beatty, R. A., Malignant melanoma of choroid plexus epithelium. Case Report. J. Neurosurg.36 (1972), 344–347.
Beppu, T., Kagawa, M., Shimuzu, T., Matsumori, K., Kubo, O., Case of bilaterial congenital choroid plexus papilloma. Brain Nerve (Tokyo)24 (1972), 179–186.
Bodian, M., Lawson, D., The intracranial neoplastic diseases of childhood. A description of their natural history based on a clinico-pathological study of 129 cases. Brit. J. Surg.40 (1953), 368–392.
Bohm, E., Strang, R., Choroid plexus papilloma. J. Neurosurg.18 (1961), 493–500.
Caligari, R. J., Dameno, R., Lezama, A. V., Lichter, H., Papilloma velloso del plexo coroides en un lactante de siete meses. Rev. Soc. Puericult.20 (1954), 6–11.
Carter, P., Beggs, J., Waggener, J. D., Ultrastructure of three choroid plexus papillomas. Cancer30 (1972), 1130–1136.
Case Records-Massachusetts General Hospital. New Engl. J. Med.16 (1972), 1033–1040.
Cleveland, D., Brain tumours in children. Wisconsin Med. J.48 (1949), 686–688.
Cuneo, H. M., Rand, C. W., Brain tumours of childhood. Springfield, Ill.: Charles C. Thomas. (1952).
Cushing, H., Intracranial tumours. Springfield, Ill.: Charles C. Thomas. (1932).
Fagan, J. A., Cowan, R. J., Case report. Effect of potassium perchlorate on the uptake of 99 mTc pertechnetate in choroid plexus papillomas. J. nucl. Med.12 (1971), 312–314.
Kaplan, W. D., McComb, J. G., Strand, R. D., Treves, S., Suppression of 99 mTc pertechnetate uptake in choroid plexus papilloma. Radiology109 (1973), 395–396.
Kelly, C., Papilloma of the fourth ventricle. Trans. Path. Soc. (Lond.)24 (1873), 6–8.
Koos, W. T., Miller, M. H., Intracranial tumours of infants and children. Stuttgart: Thieme. (1971).
Laurence, K. M., The biology of choroid plexus papilloma and carcinoma of the lateral ventricle. Handbook of Clinical Neurology17 (1974), 555–595.
Laurence, K. M., Ciba Foundation Symposium of the Cerebro-spinal Fluid; Production circulation and absorption. (Wolstenholme, G. E. W., O'Connor, C. M., eds.), pp. 311–314. London. 1958.
Laurence, K. M., Hoare, R. D., Till, K., The diagnosis of the choroid plexus papilloma of the lateral ventricle. Brain84 (1961), 628–641.
Lorenzini, A., Papilloma cistico del terzo ventriculo. Riv. Clin. pediat.20 (1922), 705–749.
Martirosian, V. V., Subacute duodenal ulcer in papilloma of the vascular plexus of the fourth ventricle. Vop. Neirokhir.20 (1956), 48.
Matson, D. D., Crofton, F. D. L., Papilloma of the choroid plexus in childhood. J. Neurosurg.17 (1960), 1002–1027.
Matsushima, M., Yamamoto, T., Motomochi, M., Ando, K., Papilloma and venous angioma of the choroid plexus causing primary intraventricular haemorrhage-report of two cases. J. Neurosurg.39 (1973), 666–670.
Mikula, F., Zapletal, B., Vána, V., Papillomas of the choroid plexus of the fourth ventricle. Rozhl. Chir.41 (1962), 432–437.
Milhorat, T. H., Hammock, M. K., Davis, D. A., Fenstermacher, J. D., Choroid plexus papilloma. 1. Proof of cerebro-spinal fluid overproduction. Childs Brain2 (1976), 273–289.
Norlén, G., Papillomas of the choroid plexus. Acta chir. scand.98 (1949), 273–279.
Nothnagel, H., Über Tumoren der Vierhügel-Region. Wien. med. Presse30 (1889), 89–92.
Obrador, S., Alberca, R., Boixados, J. R., Trastorno de conciencia prolongado depues de extirpar un tumor del cuarto ventriculo (papiloma coroideo). Rev. clin. esp.48 (1953), 286–291.
Okabe, Y., A case of papilloma of the plexus choroideus in a child. Gan18 (1924), 20–28.
Pecker, J., Ferrand, B., Javallet, A., Tumeurs du troisième ventricule. Neurochirurgie12 (1966), 7–136.
Platt, M., Rosman, N. P., Choroid plexus papilloma mimicking degenerative brain disease in childhood. J. Pediatr.80 (1972), 483–484.
Posey, L. C., Papilloma of the choroid plexus-report of a case and summary of recorded cases. Arch. Path. (Chicago)34 (1942), 911–916.
Ray, B. S., Peck, F. C., Papilloma of the choroid plexus of the lateral ventricle causing hydrocephalus in an infant. J. Neurosurg.8 (1956), 405–410.
Robin and Blondel, Description d'une tumeur épithéliale provenant du plexus choroide. Gaz. méd. (Paris)28 (1858), 506–508.
Slaymaker, S. R., Elias, F., Papilloma of the choroid plexus with hydrocephalus. Arch. intern. Med.3 (1909), 289–294.
Somerford, A. E., A case of papilloma of the choroid plexus. Arch. Dis. Childh.8 (1933), 53–56.
Stanley, P., Papillomas of the choroid plexus. Brit. J. Radiol.41 (1968), 848–857.
Takizawa, E., Case of papilloma tumour originating from the fourth ventricular choroid plexus. Tokyo Med. J.3168 (1940), 60.
Thiry, S., Deux Tumeurs rares et de diagnostic difficile l'ependymome et le papillome du troisième ventricule. Acta chir. belg.53 (1954), 428–439.
Thompson, J. R., Harwood-Nash, D. C., Fitz, S. R., The neuroradiology of childhood choroid plexus neoplasms. J. Roentgenol. Radium. Ther. Nucl. Med.118 (1973), 116–133.
Tola, J. S., Histological pathological and biological characteristics of primary neoplasms of the cerebellum and the fourth ventricle, with some aspects of their clinical picture, diagnosis and treatment (on the basis of 71 verified cases). Acta chir. scand. Supp.164 (1951), 100–112.
Tönnis, W., Geschwülste der Hirnkammern. Dtsch. Z. Nervenheilk.139 (1936), 59–64.
Töppisch, G., Die Zottenkrebse des Adergeflechtes der Rantengrube. Frankfurt. Z. Path.33 (1925), 238–247.
Vonwiller, P., Über das Epithel und die Geschwülste der Hirnkammern. Virchows Arch. path. Anat.204 (1911), 230–265.
Vraa-Jensen, G., Papilloma of choroid plexus with pulmonary métastases. Acta psychiat. scand.25 (1950), 299–306.
Wishart, D. E. S., Brain tumor; neurologie examination in seven consecutive verified cases in posterior fossa-tumors in children. Arch. Otolaryng.2 (1925), 1–36.
Zdrahal, N., Ein Fall von Carcinom des Plexus choroideus (mit ungewöhnlichen klinischen Erscheinungen). Arch. Kinderheilk.109 (1936), 24.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Laurence, K.M. The biology of choroid plexus papilloma in infancy and childhood. Acta neurochir 50, 79–90 (1979). https://doi.org/10.1007/BF01813553
Issue Date:
DOI: https://doi.org/10.1007/BF01813553