{"id":"4d7967d5-e2e1-45a8-95f4-7ef0eca2fa8e","slug":"metastatic-choroid-plexus-papilloma-presenting-as-a-sellar-mass-a-case-report-and-literature-review","title":"Metastatic choroid plexus papilloma presenting as a sellar mass: A case report and literature review","authors":["Brandon Michael Wilkinson","Michael A. Duncan","Dan Y. Draytsel","Harish Babu"],"abstract":"Background: Choroid plexus papillomas (CPPs) are rare neoplasms arising from choroid plexus epithelium representing de novo formation in extraventricular sites is rare. Case Description: A 57-year-old female with a history of a 4th ventricular CPP status post resection in 2004 and 2018 with subsequent gamma knife therapy in 2019 presented with increased thirst and urination. Since her initial surgery, she has experienced significant gait imbalance, diplopia, dysphagia, and right-sided hemiparesis and hemisensory loss. Magnetic resonance imaging revealed a new 1.5 × 1.8 cm suprasellar lesion. She underwent a left supraorbital craniotomy for tumor resection, with pathology revealing metastatic World Health Organization grade II CPP. Conclusion: Extraventricular manifestation of CPP is rare. De novo or metastatic involvement of the sella has seldom been reported. Treatment should target gross total surgical resection. Adjuvant chemotherapy and radiation may be useful in higher-grade lesions.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/4d7967d5-e2e1-45a8-95f4-7ef0eca2fa8e/featured/hero-1781559590391.png","publishDate":"2024-04-19T00:00:00.000Z","doi":"10.25259/SNI_847_2023","categories":["Skull Base","Case Report"],"fullTextUrl":"https://surgicalneurologyint.com/api/articles/4d7967d5-e2e1-45a8-95f4-7ef0eca2fa8e/pdf"}