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...
Sign in or Register to read more