Craniopharyngioma (papillary)

Case contributed by Assoc Prof Frank Gaillard

Patient Data

Age: Adult

Pituitary region MRI demonstrates a suprasellar mass which is predominantly cystic with a small enhancing posterosuperior nodule. The mass elevates and distorts the optic chiasm but does not extend into the pituitary fossa.

Case Discussion

Features are consistent with a papillary craniopharyngioma which was confirmed histologically. 


Sections show a papillary tumor with a fibrovascular core covered by a multilayered collection of well-differentiated epithelial cells. The basal layer of cells show a degree of nuclear pallisading and there are focal areas with a loose, microcystic pattern. There is no obvious keratin formation.

Final diagnosis: Suprasellar nodule; papillary craniopharyngioma.

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Case information

rID: 4722
Published: 2nd Oct 2008
Last edited: 13th Aug 2019
Inclusion in quiz mode: Included

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