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종결 Case No. 540 2020-01-01~2020-01-31
출제자 : 박지은 Hit : 335
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Period 2020-01-01~2020-01-31
Diagnosis Granular cell tumor of the neurohypophysis
Gender
  • M
  •  
  • F
Age 42
Clinical information Trauma가 있어 외부 병원으로 내원해 시행한 검사상 이상소견이 있어 내원한 43세 여자 환자이다. 평소 특이 증상은 없었다. 진단은?
Discussion 1. Introduction
Peak age: fifth decade
Suspected to be craniopharyngioma before surgery
Arising from the pituitary stalk and rastal to the normal pituitary gland
Mostly suprasellar location

2. Clinical manifestation
Asymptomatic, visual disturbance headache or amonorrhea

3. Radiologic Findings
Suprasellar mass epicentered in the pituitary stalk.
Tendency of posterior protrusion.
CT Hypednse mass without definite calcification
MR T2 iso signal intensity, T1 iso signal intensity with
Homogeneous or Heterogeneous enhancement
DDx. Craniopharyngioma, germinoma, hamartoma, meningioma, dermoid cyst, etc.
Correct answer

Correct Answer

  • 이진영 ----

Semi-Correct Answer

  • 김세우 서울대학교병원
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