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Weekly Case

종결 Case No. 275 2012-07-02~2012-07-31
출제자 : 이영흔 Hit : 464
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Period 2012-07-02~2012-07-31
Diagnosis craniopharyngioma
Clinical information M/41 C.C: right eye blurred vision
Discussion 답 : craniopharyngioma
참고)
 Benign epithelial tumor from Rathke pouch epithelium
 Age: Bimodal
 5-14 yrs
 Adamantinous type
– 90% Solid, cystic (protein, blood products, cholesterol)
– 90% Calcification
– 90% Enhance
 50-74 yrs
 Papillary type
– Solid (metaplastic squamous cells)
– Rare calcification
 Location
 Suprasellar (90%)
 Other rare locations (Papillary type - Metaplastic cells )
– Third ventricle, nasopharynx, pineal gland
– Third Ventricular Craniopharyngioma
– Older age (26 to 70 years)
– Solid with squamous cell histology
– NECT: isodense noncalcified, noncystic appearance
– CECT: homogeneous contrast enhancement
– MR
 T1WI: Hypo SI or iso SI (solid portions)
 T2WI: High SI
Correct answer

Correct Answer

  • 김승수 순천향대학교 천안병원
  • 김대윤 울산의대 서울아산병원
  • 박혜주 가톨릭대학교 서울성모병원
  • 차지훈 성균관대학교 삼성서울병원

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