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Craniopharyngioma

Donna-Marie McMahon, DO, FAAP Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Benign epithelioid tumor, usually suprasellar, partially calcified, solid, or mixed solid–cystic that arises from remnants of the craniopharyngeal duct or Rathke pouch

  • Histologic subt...

DIAGNOSIS

A craniopharyngioma may go undiagnosed for years 

HISTORY

  • Eye: visual changes, blurriness, loss of peripheral vision (Visual symptoms will vary depending on how the tumor affects the optic chi...

TREATMENT

GENERAL MEASURES

  • Avoidance of driving, operating machinery, playing sports, or other activities that heavily depend on visual abilities

  • Avoidance of gastric irritants; symptomatic treatment of...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • Postoperative MRI, within 2 months of surgery, to confirm that the extent of the resection was as planned; follow-up MRI/CT scans recommended by...

REFERENCES

1
Müller HL. Craniopharyngioma. Endocr Rev.  2014;35(3):513–543. {L-End} [View Abstract on OvidMedline]
2
Bretault M, Boillot A, Muzard L, et al. Clinical review: bariatric surgery follo...

CODES

ICD10

D35.3 Benign neoplasm of craniopharyngeal duct 

ICD9

227.3 Benign neoplasm of pituitary gland and craniopharyngeal duct 

SNOMED

  • 189179009 Craniopharyngioma (disorder)

  • 134216001 Adamantinous cran...

CLINICAL PEARLS

  • Although considered a “benign” tumor, a craniopharyngioma is associated with significant morbidity and mortality. Management of these tumors requires a multidisciplinary approach.

  • Hormo...

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