Hostname: page-component-cd9895bd7-dk4vv Total loading time: 0 Render date: 2024-12-28T01:57:14.290Z Has data issue: false hasContentIssue false
  • English
  • Français

Renal Cell Carcinoma Metastatic to the Choroid Mimicking Intraventricular Meningioma

Published online by Cambridge University Press:  02 December 2014

Alfredo Quinones-Hinojosa ,
Edward F. Chang ,
Saad A. Khan ,
Michael T. Lawton  and
Michael W. McDermott
Alfredo Quinones-Hinojosa
Affiliation:
Department of Neurosurgery, University of California San Francisco, San Francisco, California, USA
Edward F. Chang
Affiliation:
Department of Neurosurgery, University of California San Francisco, San Francisco, California, USA
Saad A. Khan
Affiliation:
McGill University Faculty of Medicine, Montreal, Canada
Michael T. Lawton
Affiliation:
Department of Neurosurgery, University of California San Francisco, San Francisco, California, USA
Michael W. McDermott
Affiliation:
Department of Neurosurgery, University of California San Francisco, San Francisco, California, USA
Rights & Permissions [Opens in a new window]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.
Background:

Metastatic renal cell carcinoma to the choroid plexus is a rare condition and can be easily confused with meningioma.

Methods:

A 61-year-old female presented with progressive neurologic deterioration and MRI findings of obstructive hydrocephalus and a homogeneously contrast enhancing 3 cm oval mass in the trigone of the left lateral ventricle.

Results:

Despite radiologic, intraoperative gross features, and frozen pathology all consistent with meningioma, the final pathology revealed metastatic renal cell carcinoma.

Conclusion:

Renal cell carcinoma metastatic to the choroid plexus can mimic intraventricular meningioma. We present a review of the literature and comparison of the radiological features of meningiomas and metastatic renal cell carcinoma. We also discuss the use of an under-utilized technique, the contralateral transcallosal approach, in the surgical treatment of this intraventricular lesion.

Type
Case Report
Information
Canadian Journal of Neurological Sciences , Volume 31 , Issue 1 , February 2004 , pp. 115 - 120
Copyright
Copyright © The Canadian Journal of Neurological 2004

References

1.Kohno, M, Matsutani, M, Sasaki, T, et al.Solitary metastasis to the choroid plexus of the lateral ventricle. Report of three cases and a review of the literature. J Neurooncol 1996;27:47–52.CrossRefGoogle Scholar
2.Schreiber, D, Bernstein, K, Schneider, J. [Metastases of the central nervous system: a prospective study. 3rd Communication: metastases in the pituitary gland, pineal gland, and choroid plexus (author's transl)]. Zentralbl Allg Pathol 1982;126:64–73.Google ScholarPubMed
3.Raila, FA, Bottoms, WT Jr, Fratkin, JD.Solitary choroid plexus metastasis from a renal cell carcinoma. South Med J 1998;91:1159–1162.CrossRefGoogle ScholarPubMed
4.Shigemori, M, Shimamoto, H, Noguchi, S, et al.Choroid plexus metastasis of renal-cell-carcinoma. CT Kenkyu (Japan) 1987;9:603–606.Google Scholar
5.Mizuno, M, Asakura, K, Nakajima, S, et al. [Renal cell carcinoma metastasizing to choroid plexus of lateral ventricle; a case report]. No Shinkei Geka 1992;20:469–474.Google ScholarPubMed
6.Matsumura, H, Yoshimine, T, Yamamoto, S, et al.Single solitary metastasis of the slowly progressive type of renal cell carcinoma to the choroid plexus - case report. Neurol Med Chir (Tokyo) 1997;37:916–919.CrossRefGoogle Scholar
7.Iwatsuki, K, Sato, M, Taguchi, J, et al. [Choroid plexus metastasis of renal cell carcinoma causing intraventricular hemorrhage: a case report]. No Shinkei Geka 1999;27:359–363.Google ScholarPubMed
8.Tanimoto, M, Tatsumi, S, Tominaga, S, et al.Choroid plexus metastasis of lung carcinoma – case report. Neurol Med Chir (Tokyo) 1991;31:152–155.CrossRefGoogle ScholarPubMed
9.Kart, BH, Reddy, SC, Rao, GR, et al.Choroid plexus metastasis: CT appearance. J Comput Assist Tomogr 1986;10:537–540.Google ScholarPubMed
10.Healy, JF, Rosenkrantz, H.Intraventricular metastases demonstrated by cranial computed tomography. Radiology 1980;136:124.CrossRefGoogle ScholarPubMed
11.Kendall, B, Reider-Grosswasser, I, Valentine, A.Diagnosis of masses presenting within the ventricles on computed tomography. Neuroradiology 1983;25:11–22.CrossRefGoogle ScholarPubMed
12.Nakabayashi, H, Murata, K, Sakaguchi, M, et al.Choroid plexus metastasis from gastric cancer – case report. Neurol Med Chir (Tokyo) 1994;34:183–186.CrossRefGoogle ScholarPubMed
13.Qasho, R, Tommaso, V, Rocchi, G, et al.Choroid plexus metastasis from carcinoma of the bladder: case report and review of the literature. J Neurooncol 1999;45:237–240.CrossRefGoogle ScholarPubMed
14.Al-Anazi, A, Shannon, P, Guha, A.Solitary metastasis to the choroid plexus. Case illustration. J Neurosurg 2000;92:506.CrossRefGoogle Scholar
15.Mertens, R, Muhler, E, Heimann, G. [Disseminated neuroblastoma with intracerebral metastasis in a newborn infant]. Klin Padiatr 1987;199:424–428.CrossRefGoogle Scholar
16.Fukui, K, Okamura, K, Watanabe, M, et al. [Choroid plexus involvement in malignant lymphoma. Case report]. Neurol Med Chir (Tokyo) 1990;30:869–873.CrossRefGoogle ScholarPubMed
17.Criscuolo, GR, Symon, L.Intraventricular meningioma. A review of 10 cases of the National Hospital, Queen Square (1974-1985) with reference to the literature. Acta Neurochir (Wien) 1986;83:83–91.CrossRefGoogle ScholarPubMed
18.Rohringer, M, Sutherland, GR, Louw, DF, et al.Incidence and clinicopathological features of meningioma. J Neurosurg 1989;71:665–672.CrossRefGoogle ScholarPubMed
19.Ginsberg, LE.Radiology of meningiomas. J Neurooncol 1996;29:229–238.CrossRefGoogle ScholarPubMed
20.Guermazi, A, De Kerviler, E, Zagdanski, AM, et al.Diagnostic imaging of choroid plexus disease. Clin Radiol 2000;55:503–516.CrossRefGoogle ScholarPubMed
21.Roman-Goldstein, SM, Goldman, DL, Howieson, J, et al.MR of primary CNS lymphoma in immunologically normal patients. AJNR Am J Neuroradiol 1992;13:1207–1213.Google ScholarPubMed
22.Knierim, DS.Choroid plexus tumors in infants. Pediatr Neurosurg 1990;16:276–280.CrossRefGoogle ScholarPubMed
23.Rhoton, AL Jr, Yamamoto, I, Peace, DA.Microsurgery of the third ventricle: Part 2. Operative approaches. Neurosurgery 1981;8:357–373.CrossRefGoogle ScholarPubMed
24.Petrucci, RJ, Buchheit, WA, Woodruff, GC, et al.Transcallosal parafornicial approach for third ventricle tumors: neuropsychological consequences. Neurosurgery 1987;20:457–464.CrossRefGoogle ScholarPubMed
25.Winkler, PA, Ilmberger, J, Krishnan, KG, et al.Transcallosal interforniceal-transforaminal approach for removing lesions occupying the third ventricular space: clinical and neuropsychological results. Neurosurgery 2000;46:879–888; discussion 888-890.Google ScholarPubMed
26.Lawton, MT, Golfinos, JG, Spetzler, RF.The contralateral transcallosal approach: experience with 32 patients. Neurosurgery 1996;39:729–734; discussion 734-735.CrossRefGoogle ScholarPubMed
27.Geffen, G, Walsh, A, Simpson, D, et al.Comparison of the effects of transcortical and transcallosal removal of intraventricular tumours. Brain 1980;103:773–788.CrossRefGoogle ScholarPubMed
28.Jeeves, MA, Simpson, DA, Geffen, G.Functional consequences of the transcallosal removal of intraventricular tumours. J Neurol Neurosurg Psychiatry 1979;42:134–142.CrossRefGoogle ScholarPubMed
29.Oepen, G, Schulz-Weiling, R, Zimmermann, P, et al.Neuropsychological assessment of the transcallosal approach. Eur Arch Psychiatry Neurol Sci 1988;237:365–375.CrossRefGoogle ScholarPubMed
30.Shiau, CY, Sneed, PK, Shu, HK, et al.Radiosurgery for brain metastases: relationship of dose and pattern of enhancement to local control. Int J Radiat Oncol Biol Phys 1997;37:375–383.CrossRefGoogle ScholarPubMed