Craniopharyngioma (papillary)

Case contributed by A.Prof Frank Gaillard

Presentation

1 week of headaches and blurred vision.

Patient Data

Age: 20 years
Gender: Male

CT brain

Modality: CT

.

MRI pituitary

Modality: MRI

MRI of the pituitary demonstrates a 3.7 x 3.1 x 2.3cm heterogeneously T1 and T2 hyperintense intrasellar mass with a small irregular nodule of internal enhancement and a figure of 8 configuration. It has superiorly displaced and compressed the chiasm. It doesnot appear to have invaded the clivus, sphenoid sinus nor cavernous sinuses. Normal cavernous carotid, M1 and A1 flow voids, although the A1s are superiorly displaced.

The patient went on to have transphenoidal surgery. 

Histology

The sections show a cyst lined by a combination of ciliated columnar epithelial cells containing goblet cells and squamous epithelial cells.  Separate from the cyst is a solid arrangement of mature squamous epithelium surrounding fibrovascular cores.  No mitotic figures or areas of necrosis are identified.  The features are of papillary craniopharyngioma.

Final diagnosis: Papillary craniopharyngioma

Case Discussion

This case demonstrates appearances of a papillary craniopharyngioma. 

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Case Information

rID: 16791
Case created: 20th Feb 2012
Last edited: 7th Feb 2017
Inclusion in quiz mode: Included

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