Presentation
Headache and unspecified short course of visual disturbances
Patient Data
There is a partially cystic mass with central calcifications in the sellar and suprasellar region with extension to the prepontine cistern.
Heterogeneous mass in sellar and suprasellar region, predominantly cystic with solid component that shows enhancement. There is no restriction to diffusion. At the suprasellar level it displaces the optic chiasm and recesses of the third ventricle without hydrocephalus. The mass extends towards the prepontine cistern, displacing the brainstem and enveloping the basilar artery. There are areas with susceptibility artifacts corresponding to calcifications seen at CT. Note the misplaced probe.
Case Discussion
Histology.
In this case, tumor resection was performed; the histopathological study showed fragments of squamous epithelium with keratinization, extensive hyalinization and calcifications, chronic inflammation and vascular proliferation.
Final diagnosis: adamantinomatous craniopharyngioma
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