PMC6010554_01
The MRI of the brain and the pituitary. (A,C) No significant expansion of the sella, irregular cystic-solid mixed mass in the hypothalamus region, solid part presented iso-signal, the boundaries between the lesion and pituitary stalk, pituitary are not clear, the optic chiasm was compressed. (B,D) The solid part of the lesion was significantly enhanced, no enhancement in cystic part, no abnormal signal in the brain parenchyma and paranasal sinus.
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F1
There was no abnormal signal in the brain or paranasal sinuses nor signs of calcification (Figure 1).
The MRI of brain and pituitary (second hospitalization). No signs of shrinkage for the mass.
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F2
An MRI showed no signs of shrinkage of the mass (Figure 2).
The image of pathology. Palisaded columnar epithelium cells, stellate reticular cells, and keratinized tissues are dominant, and glial hyperplasia zone is adjacent to the nerve tissue, compatible with adamantinomatous craniopharyngioma (X 200).
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F3
The pathological analysis was indicative of a craniopharyngioma (Figure 3).
The MRI of cranial and pituitary (1 year after surgery). No expansion of sella region, no signs of local tumor, no abnormal enhancement, clear boundary of optic chiasm, no signs of tumor recurrence.
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F4
Cranial and pituitary MRI showed no expansion of the sellar region, no signs of a local tumor, no abnormal enhancement, a clear boundary of the optic chiasm, and no signs of tumor recurrence (Figure 4).