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Adamantinomatous craniopharyngioma

USU Teaching File MUTF - MedPix

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Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Adamantinomatous craniopharyngioma

History: This 70 year old man had progressive visual loss over 3 to 5 years. He denied headache, nausea or vomiting. Examination revealed no light perception in either eye. The remainder of his cranial nerves were intact as were his motor and sensory examinations.

Findings: Fig 1. Contrast enhanced axial MRI showing a partially cystic suprasellar mass. Fig 2. Contrast enhanced coronal MRI showing the partially cystic suprasellar mass. Fig 3. Histological section of the resected tumor showing irregular expanses of squamous epithelium in which basal cells and stellate cells can be seen. Also present are bands of eosinophilic fibrous tissue. Fig 4. In other areas, there were large masses of “wet” keratin in which ill-defined remnants of nuclei can be seen.

Ddx: <li>pituitary adenoma <li>craniopharyngioma <li>chordoma <li>hypothalamic glioma

No MeSH data available.


Contrast enhanced axial MRI showing a partially cystic suprasellar mass.
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MPX1550_synpic17339: Contrast enhanced axial MRI showing a partially cystic suprasellar mass.


Adamantinomatous craniopharyngioma

USU Teaching File MUTF - MedPix

Contrast enhanced axial MRI showing a partially cystic suprasellar mass.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1550&req=5

MPX1550_synpic17339: Contrast enhanced axial MRI showing a partially cystic suprasellar mass.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Adamantinomatous craniopharyngioma

History: This 70 year old man had progressive visual loss over 3 to 5 years. He denied headache, nausea or vomiting. Examination revealed no light perception in either eye. The remainder of his cranial nerves were intact as were his motor and sensory examinations.

Findings: Fig 1. Contrast enhanced axial MRI showing a partially cystic suprasellar mass. Fig 2. Contrast enhanced coronal MRI showing the partially cystic suprasellar mass. Fig 3. Histological section of the resected tumor showing irregular expanses of squamous epithelium in which basal cells and stellate cells can be seen. Also present are bands of eosinophilic fibrous tissue. Fig 4. In other areas, there were large masses of “wet” keratin in which ill-defined remnants of nuclei can be seen.

Ddx: <li>pituitary adenoma <li>craniopharyngioma <li>chordoma <li>hypothalamic glioma

No MeSH data available.