Craniopharyngioma (adamantinomatous)

Case contributed by A.Prof Frank Gaillard

Presentation

Visual symptoms

Patient Data

Age: 35 years

A suprasellar heterogeneous mass is present with partial enhancement and susceptibility-induced signal loss. The ventricles are markedly enlarged in keeping with obstructive hydrocephalus. Features are those of a craniopharyngioma.

A partially calcified suprasellar mass is present. The ventricles have reduced in size (a ventricular drain has been inserted - not shown). 

Case Discussion

The patient went on to have a resection.

Histology

The sections show stellate reticulum-like epithelium, forming nests with peripheral palisading and loose stroma. There is associated wet keratin and dystrophic calcification. The epithelial cells show squamoid morphology with no nuclear atypia. There is no evidence of malignancy. A small amount of piloid gliosis is present. 

DIAGNOSIS: adamantinomatous craniopharyngioma.

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Case information

rID: 60265
Published: 20th May 2018
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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