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Vol. 27. Issue 2.
Pages 58-66 (March - April 2016)
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Vol. 27. Issue 2.
Pages 58-66 (March - April 2016)
Artículo de revisión
Tumores de plexo coroideo en la infancia: experiencia en el hospital Sant Joan de Déu
Choroid plexus tumours in childhood: Experience in Sant Joan de Déu hospital
Clara Maria del Río-Péreza,
Corresponding author
cmdrio@salud.aragon.es

Autor para correspondencia.
, Mariona Suñol-Capellab, Ofelia Cruz-Martinezc, Gemma Garcia-Fructuosod
a Servicio de Neurocirugía, Hospital Clínico Universitario Lozano Blesa, Zaragoza, España
b Servicio de Anatomía Patológica, Hospital Sant Joan de Déu, Barcelona, España
c Servicio de Oncología, Hospital Sant Joan de Déu, Barcelona, España
d Servicio de Neurocirugía, Hospital Sant Joan de Déu, Barcelona, España
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Tabla 1. Serie de casos del hospital Sant Joan de Deu
Resumen

Los tumores de plexo coroideo son tumores raros, con un pico de incidencia en los 2 primeros años de vida. La localización más frecuente en niños es el ventrículo lateral, mientras que en adultos es el ivventrículo. La manifestación clínica más común son los signos y síntomas de hipertensión intracraneal. Histológicamente se clasifican en papiloma de plexo, papiloma atípico de plexo y carcinoma de plexo. Realizamos una revisión de los tumores de plexo coroideo tratados en el Hospital Sant Joan de Déu entre 1980 y 2014. Se han tratado 18 pacientes. Analizamos datos demográficos, clínicos, histológicos, tratamiento recibido y recidivas. El tratamiento de elección es la resección completa, que se acompaña de tratamiento adyuvante en carcinomas. En papilomas atípicos es controvertido el uso de tratamientos adyuvantes, reservándose la radioterapia para las recidivas. Los papilomas tienen un buen pronóstico, mientras que en papilomas atípicos y carcinomas el pronóstico es peor.

Palabras clave:
Tumor de plexo coroideo
Papiloma de plexo coroideo
Papiloma atípico de plexo coroideo
Hidrocefalia
Abstract

Choroid plexus tumours are rare, with a peak incidence in the first two years of life. The most common location is the lateral ventricle in children, while in adults it is the fourth ventricle. The most common clinical manifestation is the signs and symptoms of intracranial hypertension. They are histologically classified as plexus papilloma, atypical plexus papilloma, and plexus carcinoma. A review is presented on choroid plexus tumours treated in the Hospital Sant Joan de Déu between 1980 and 2014. A total of 18 patients have been treated. An analysis was made of the demographic, clinical, histological data, treatment, and recurrences. The treatment of choice is complete resection, accompanied by adjuvant therapy in carcinomas. In atypical papillomas, the use of adjuvant therapies is controversial, reserving radiation therapy for recurrences. Papillomas have a good outcome, whereas atypical papillomas and carcinomas outcome is poor.

Keywords:
Choroid plexus papilloma
Choroid plexus carcinoma
Atypical choroid plexus papilloma
Hydrocephalus

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