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Papillary craniopharyngioma

USU Teaching File MUTF - MedPix

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Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Papillary craniopharyngioma

History: This 30 year old man had a history of confusion, poor memory and blurred vision but no headaches.

Findings: Fig 1. CT showing large partially cystic suprasellar lesion with no areas of calcification. Fig 2. Sagittal MRI showing partially cystic and solid lesion protruding into the third ventricle. Fig 3. Histologic section showing fibrous papillae covered by squamous epithelium. No nests of “wet” keratin or foci of mineralization are present. Fig 4. Higher magnification shows the well differentiated squamous epithelium without peripheral palisading of cells, stellate reticulum or areas of wet keratin.

Ddx: Suprasellar Mass <li>Pituitary macroadenoma <li>Craniopharyngioma <li>Meningioma <li>Aneurysm <li>Dermoid/Epidermoid <li>Metastasis

Exam: He had full range of extraocular movements but visual acuity was only 20/200 bilaterally. An endocrine evaluation was normal.

No MeSH data available.


CT showing large partially cystic suprasellar lesion with no areas of calcification.
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MPX1304_synpic17362: CT showing large partially cystic suprasellar lesion with no areas of calcification.


Papillary craniopharyngioma

USU Teaching File MUTF - MedPix

CT showing large partially cystic suprasellar lesion with no areas of calcification.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1304&req=5

MPX1304_synpic17362: CT showing large partially cystic suprasellar lesion with no areas of calcification.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Papillary craniopharyngioma

History: This 30 year old man had a history of confusion, poor memory and blurred vision but no headaches.

Findings: Fig 1. CT showing large partially cystic suprasellar lesion with no areas of calcification. Fig 2. Sagittal MRI showing partially cystic and solid lesion protruding into the third ventricle. Fig 3. Histologic section showing fibrous papillae covered by squamous epithelium. No nests of “wet” keratin or foci of mineralization are present. Fig 4. Higher magnification shows the well differentiated squamous epithelium without peripheral palisading of cells, stellate reticulum or areas of wet keratin.

Ddx: Suprasellar Mass <li>Pituitary macroadenoma <li>Craniopharyngioma <li>Meningioma <li>Aneurysm <li>Dermoid/Epidermoid <li>Metastasis

Exam: He had full range of extraocular movements but visual acuity was only 20/200 bilaterally. An endocrine evaluation was normal.

No MeSH data available.