Craniopharyngioma (papillary)

Discussion:

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

Histology:

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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