Adamantinomatous craniopharyngioma

Case contributed by Jeremy Jones
Diagnosis certain

Presentation

Bitemporal hemianopia. Headaches.

Patient Data

Age: 15 years
Gender: Male

Cystic suprasellar tumor with peripheral calcification. Appearances most likely represent craniopharyngioma.

Cystic peripherally enhancing suprasellar tumor. No other abnormality. 

Case Discussion

The patient went on to have a resection. 

Histology

Crushed pituitary tissue.

Tumor is composed of basaloid cells with palisaded epithelium at the edges. 
Numerous cystic spaces containing squamous debris together with an arrangement of epithelium and trabeculae surrounding areas of wet keratin. There is extensive calcification and areas of hemorrhage.
 
Adamantinomatous craniopharyngioma WHO Grade 1. 

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.