Extraventricular choroid plexus carcinoma with spinal metastasis: A case report

BACKGROUND: We report a case of extraventricular choroid plexus carcinoma (CPC) accompanied by spinal metastasis in a pediatric patient. CASE REPORT: A 15-year-old female patient presented with chronic progressive headache and blurry vision. Magnetic resonance imaging (MRI) revealed an intra-axial mass in the left frontal lobe. A gross total resection was performed, and the histopathological examination revealed the diagnosis of CPC, confirmed with immunohistochemical (IHC) analysis of glial fibrillary acidic protein, S100, EM, P53, and Ki67. Eleven months later, MRI result identified another mass in the left frontal lobe. Spinal MRI showed drop metastasis to the spine, accompanied by leptomeningeal seeding. CONCLUSION: This case demonstrated the importance of IHC and spinal MRI in the management of CPC. This case report may provide more insight into extraventricular CPC cases, which is important for the adequate management of patients with CPC in the future. © 2021 Rachmat Andi Hartanto, Daniel Agriva Tamba, Nurhuda Hendra Setyawan, Ericko Ekaputra, Rusdy Ghazali Malueka, Indra Sari Kusuma Harahap, Ery Kus Dwianingsih.