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Renal Cell Carcinoma Metastatic to the Choroid Mimicking Intraventricular Meningioma

Published online by Cambridge University Press:  02 December 2014

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
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Abstract

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
Copyright
Copyright © The Canadian Journal of Neurological 2004

References

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