Suprasellar meningioma

Discussion:

This case illustrates a well-defined, solid-cystic, and vivid enhancing suprasellar tumor that spares the pituitary gland. In this age group the differential diagnosis to be considered is made between:

  • meningioma (favored)
    • epicenter is usually outside the pituitary fossa
    • dural tail common
    • enhancement is homogeneous and vivid
  • craniopharyngioma
    • papillary subtype is more frequently solid, although cystic components are still more common than entirely solid lesions
    • epicenter is in ~90% of cases in the suprasellar region 
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