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How would you approach treatment of a patient with recurrent choroid plexus papilloma with intraventricular dissemination?
History of 4th ventricle choroid plexus papilloma s/p GTR, now with recurrent disease in the 4th ventricle and the left lateral ventricle (7 nodules in the lateral ventricle).
How would a history of left frontal lobe WHO 2 astrocytoma s/p resection followed by recurrence of left frontal lobe WHO 4 astrocytoma treated with re-excision, chemoRT with concurrent Temodar and EBRT to 60 Gy, followed by adjuvant Temodar alter your management?
Answer from: Radiation Oncologist at Academic Institution
The management of choroid plexus tumors starts with diversion of the CSF flow, especially in this patient with a recurrence in the 4th ventricle. A gross tumor resection (GTR) is the most significant prognostic factor, but in this patient, it might not be feasible due to the dissemination in the lef...
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