Title
Intraventricular choroid plexus tumors: clinical characteristics and impact of current management on survival
Date Issued
01 September 2020
Access level
metadata only access
Resource Type
journal article
Author(s)
Huayllani M.T.
Incontri D.
Whaley J.J.
Marenco-Hillembrand L.
Ebot J.
Chaichana K.L.
Sheehan J.
Quiñones-Hinojosa A.
Trifiletti D.M.
Mayo Clinic
Publisher(s)
Springer
Abstract
Introduction: Choroid plexus tumors (CPTs) represent one of the most common intraventricular tumors. Although most are benign, they often reach considerable sizes before clinical manifestation, challenging their surgical management. We aim to describe the clinical characteristics and the impact of current management on the survival of patients harboring intraventricular CPT. Methods: The National Cancer Database (NCDB) was queried to identify biopsy-proven intraventricular CPT patients (2004–2015). Demographic and patterns of care were described, the log-rank method was used to independently analyze survival according to age, WHO grade and extent of resection (EOR). Multivariate analysis was performed to investigate the impact of prognostic factors on overall survival (OS). Results: A total of 439 CPT patients with known WHO grade were included. WHO grade I tumors were more frequent in adults, while WHO grade III tumors were more common in pediatric population. Most CPTs were benign, with a median tumor size of 3–4 cm. Mean tumor size in pediatric population was greater than in adult population (4.39 cm vs. 2.7 cm; p < 0.01). Frequency was similar between males and females (51.7% vs. 48.3%; p > 0.0.5). Five- and ten-year OS among all patients was 87% and 84%, respectively. EOR was not associated with survival for any WHO grade. On multivariable analysis, only patient age (p = 0.022), WHO grade (p = 0.003) and medical comorbidity scores (p = 0.002) were independently associated with OS after diagnosis. Conclusion: Patients with CPTs present at different stages of life, with sizable tumor burden and distinct WHO grade prevalence. Considering their favorable survival, efforts to improve tumor control should be meticulously weighed against the long-term risk associated with surgery, radiation, and chemotherapy.
Start page
283
End page
292
Volume
149
Issue
2
Language
English
OCDE Knowledge area
OncologĂa
EpidemiologĂa
Subjects
Scopus EID
2-s2.0-85090438570
PubMed ID
Source
Journal of Neuro-Oncology
ISSN of the container
0167594X
Sponsor(s)
This publication was made possible through the support of the Eveleigh Family Career Development Award for Cancer Research at Mayo Clinic in Florida.
Sources of information:
Directorio de ProducciĂ³n CientĂfica
Scopus