Papilomas de plexo coroideo de la fosa posterior
R.D. Lobato, J.J. Rivas, P. Gómez, S. Madero, A. Cabrera, M.aJ. Muñoz, J.M. Cañizal, E. Lamas
Servicio de Neurocirugía y Sección de Neuropatología, Hospital «12 de Octubre», Madrid
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Madero, A. Cabrera, M.<span class="elsevierStyleSup">a</span>J. Muñoz, J.M. Cañizal, E. Lamas" "autores" => array:8 [ 0 => array:2 [ "nombre" => "R.D." "apellidos" => "Lobato" ] 1 => array:2 [ "nombre" => "J.J." "apellidos" => "Rivas" ] 2 => array:2 [ "nombre" => "P." "apellidos" => "Gómez" ] 3 => array:2 [ "nombre" => "S." "apellidos" => "Madero" ] 4 => array:2 [ "nombre" => "A." "apellidos" => "Cabrera" ] 5 => array:2 [ "nombre" => "M.<span class="elsevierStyleSup">a</span>J." "apellidos" => "Muñoz" ] 6 => array:2 [ "nombre" => "J.M." "apellidos" => "Cañizal" ] 7 => array:2 [ "nombre" => "E." "apellidos" => "Lamas" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Neurocirugía y Sección de Neuropatología, Hospital «12 de Octubre», Madrid" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:1 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec156523" "palabras" => array:6 [ 0 => "Tumor" 1 => "papiloma" 2 => "plexo coroideo" 3 => "cuarto ventrículo" 4 => "ángulo pontocerebeloso" 5 => "hidrocefalia" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se analiza la presentación clínico-radiológica de cinco papilomas de plexo coroideo de la fosa posterior en el adulto. Cuatro de estos tumores se localizaban en el cuarto ventrículo y uno ocupaba la región del ángulo pontocerebeloso (APC). El diagnóstico diferencial de estos tumores se basa actualmente en la tomografía axial computarizada (TAC). Aparte de la calcificación intratumoral que se observa en el 25% de los casos aproximadamente, pero que no les distingue de otros tumores de la misma localización, es característico de los papilomas que presenten densidad elevada en el estudio sin contraste si bien un 20% son isodensos en relación con el parénquima vecino. Tras la inyección de contraste estos tumors captan ávida y homogéneamente, a excepción de aquellos que están masivamente calcificados. La irregularidad de los bordes tumorales en el estudio con contraste es bastante típica y ayuda a diferenciarlos del ependimoma, meduloblastoma y astrocitoma. No existe un patrón angiográfico característico del papiloma de plexo, si bien la angiografía cerebral ayuda en el diagnóstico diferencial con el hemangioblastoma. La diferenciación radiológica del papiloma del APC con otros tumores más comunes de la región es más fácil.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se comenta la presentación macroscópica del papiloma durante el acto quirúrgico, sus relaciones con las estructuras vecinas y el pronóstico operatorio a corto y largo plazo. Finalmente se considera el diagnóstico diferencial histológico con otras lesiones de estructura papilar.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">The authors analyze the clinicoradiological presentation of choroid plexus papilloma of the posterior fossa in five adult patients. The tumor located into the fourth ventricle in four cases and in the cerebellopontine angle (CPA) in one. Differential diagnosis of choroid plexus papilloma is currently based on computerized tomography (CT). Apart from intratumoral calcifications, which occur in nearly 25% of the cases, papillomas usualy show an increased density in the CT study. Following contrast injection tumor enhancement is marked and homogeneous. Irregularity of the tumoral borders is a most characteristic finding which helps in the differential diagnosis with other tumors of the región. Differential diagnosis,of CPA papilloma is easy. There is not a characteristic angiographic pattern of choroid plexus papilloma but cerebral angiography may aid to distinguish this tumor from solid hemangioblastoma.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">The surgical findings, technical problems and the immediate and long term prognosis with posterior fossa papillomas are considered.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Referencias" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:33 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Tumeurs ventriculaires peu fréquentes" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "M.M. Asenjo" 1 => "P. Donoso" 2 => "E. 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2023 March | 1 | 1 | 2 |
| 2018 February | 7 | 15 | 22 |
| 2018 January | 8 | 9 | 17 |
| 2017 December | 14 | 27 | 41 |
| 2017 November | 45 | 39 | 84 |
| 2017 October | 7 | 16 | 23 |
| 2017 September | 13 | 20 | 33 |
| 2017 August | 10 | 19 | 29 |
| 2017 July | 7 | 16 | 23 |
| 2017 June | 15 | 29 | 44 |
| 2017 May | 11 | 13 | 24 |
| 2017 April | 16 | 23 | 39 |
| 2017 March | 23 | 10 | 33 |
| 2017 February | 5 | 23 | 28 |
| 2017 January | 9 | 9 | 18 |
| 2016 December | 18 | 34 | 52 |
| 2016 November | 16 | 36 | 52 |
| 2016 October | 17 | 34 | 51 |
| 2016 September | 39 | 49 | 88 |
| 2016 August | 53 | 29 | 82 |
| 2016 July | 39 | 46 | 85 |
| 2015 December | 2 | 0 | 2 |
| 2015 July | 1 | 6 | 7 |
| 2015 June | 16 | 33 | 49 |
| 2015 May | 28 | 66 | 94 |
| 2015 April | 19 | 49 | 68 |
| 2015 March | 28 | 70 | 98 |
| 2015 February | 13 | 61 | 74 |
| 2015 January | 18 | 49 | 67 |
| 2014 December | 25 | 45 | 70 |
| 2014 November | 14 | 43 | 57 |
| 2014 October | 21 | 56 | 77 |
| 2014 September | 22 | 61 | 83 |
| 2014 August | 20 | 58 | 78 |
| 2014 July | 19 | 61 | 80 |
| 2014 June | 24 | 63 | 87 |
| 2014 May | 21 | 64 | 85 |
| 2014 April | 21 | 40 | 61 |
| 2014 March | 22 | 55 | 77 |
| 2014 February | 18 | 53 | 71 |
| 2014 January | 22 | 46 | 68 |
| 2013 December | 18 | 35 | 53 |
| 2013 November | 17 | 40 | 57 |
| 2013 October | 25 | 47 | 72 |
| 2013 September | 22 | 71 | 93 |
| 2013 August | 38 | 67 | 105 |
| 2013 July | 32 | 66 | 98 |
| 2013 June | 25 | 57 | 82 |
| 2013 May | 25 | 85 | 110 |
| 2013 April | 27 | 55 | 82 |
| 2013 March | 28 | 66 | 94 |
| 2013 February | 19 | 39 | 58 |
| 2013 January | 19 | 40 | 59 |
| 2012 December | 13 | 33 | 46 |
| 2012 November | 1 | 28 | 29 |
| 2012 October | 0 | 8 | 8 |
| 2012 September | 0 | 2 | 2 |
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