clayton wiley md/phd. the patient is a 72-year-old male who presents with bitemporal hemianopsia...
TRANSCRIPT
Clayton Wiley MD/PhD
The patient is a 72-year-old male who presents with bitemporal hemianopsia without endocrine abnormalities.
Diagram bitemporal hemianopsia?
Question 1
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Coronal T1
Coronal +Contrast
Sagittal +contrast
What is the differential diagnosis based on MRI/age.
Question 2
Suprasellar lesions include:AneurysmDermoid/epidermoid cystCraniopharyngiomaGranular cell tumorHypophysitisHypothalamic neuronal hamartomaMeningiomaMetastasisOptic gliomaPituitary macroadenomaRathke's cystXanthogranuloma
Answer
The surgeon performs an endoscopic endonasal biopsy, and an intraoperative evaluation is requested. Describe the cytologic features of the smear.
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Question 3
The patient undergoes resection. Review the permanent section. Describe the histologic features of this lesion.
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Question 5
What is your final diagnosis?
Question 6
Craniopharyngioma, adamantinomatous-type
Answer
What is the corresponding WHO grade of this lesion?
Question 8
WHO grade I
Answer
How would you expect this material to appear grossly?
Question 10
Thick brownish-yellow fluid, like machine oil, possibly with crumbly debris.
Answer
From what embryologic structure is this tumor presumed to develop?
Question 11
Rathke pouch epithelium
Answer