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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| año/Mes | Html | Total | |
|---|---|---|---|
| 2023 Marzo | 1 | 1 | 2 |
| 2018 Febrero | 7 | 15 | 22 |
| 2018 Enero | 8 | 9 | 17 |
| 2017 Diciembre | 14 | 27 | 41 |
| 2017 Noviembre | 45 | 39 | 84 |
| 2017 Octubre | 7 | 16 | 23 |
| 2017 Septiembre | 13 | 20 | 33 |
| 2017 Agosto | 10 | 19 | 29 |
| 2017 Julio | 7 | 16 | 23 |
| 2017 Junio | 15 | 29 | 44 |
| 2017 Mayo | 11 | 13 | 24 |
| 2017 Abril | 16 | 23 | 39 |
| 2017 Marzo | 23 | 10 | 33 |
| 2017 Febrero | 5 | 23 | 28 |
| 2017 Enero | 9 | 9 | 18 |
| 2016 Diciembre | 18 | 34 | 52 |
| 2016 Noviembre | 16 | 36 | 52 |
| 2016 Octubre | 17 | 34 | 51 |
| 2016 Septiembre | 39 | 49 | 88 |
| 2016 Agosto | 53 | 29 | 82 |
| 2016 Julio | 39 | 46 | 85 |
| 2015 Diciembre | 2 | 0 | 2 |
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| 2015 Junio | 16 | 33 | 49 |
| 2015 Mayo | 28 | 66 | 94 |
| 2015 Abril | 19 | 49 | 68 |
| 2015 Marzo | 28 | 70 | 98 |
| 2015 Febrero | 13 | 61 | 74 |
| 2015 Enero | 18 | 49 | 67 |
| 2014 Diciembre | 25 | 45 | 70 |
| 2014 Noviembre | 14 | 43 | 57 |
| 2014 Octubre | 21 | 56 | 77 |
| 2014 Septiembre | 22 | 61 | 83 |
| 2014 Agosto | 20 | 58 | 78 |
| 2014 Julio | 19 | 61 | 80 |
| 2014 Junio | 24 | 63 | 87 |
| 2014 Mayo | 21 | 64 | 85 |
| 2014 Abril | 21 | 40 | 61 |
| 2014 Marzo | 22 | 55 | 77 |
| 2014 Febrero | 18 | 53 | 71 |
| 2014 Enero | 22 | 46 | 68 |
| 2013 Diciembre | 18 | 35 | 53 |
| 2013 Noviembre | 17 | 40 | 57 |
| 2013 Octubre | 25 | 47 | 72 |
| 2013 Septiembre | 22 | 71 | 93 |
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| 2013 Marzo | 28 | 66 | 94 |
| 2013 Febrero | 19 | 39 | 58 |
| 2013 Enero | 19 | 40 | 59 |
| 2012 Diciembre | 13 | 33 | 46 |
| 2012 Noviembre | 1 | 28 | 29 |
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