Adamantinomatous craniopharyngioma

Discussion:

Craniopharyngioma (pathologically proven in this case) is a benign suprasellar mass that usually occurs in pediatric (5-15 years) and elderly (60-70 years)

Differential considerations include pituitary macroadenoma and Rathke's cleft cyst.

Editors note: Unfortunately additional diagnostic information is not available and it is uncertain whether this represents an adamantinomatous craniopharyngioma or papillary craniopharyngioma. Given baseline frequency particularly at this age and the dominant cystic component with intermediate-high T1 signal this most likely represents an adamantinomatous craniopharyngioma. 

For the purposes of this case, it almost certainly represents an adamantinomatous craniopharyngioma

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