Question:
A child presents with visual disturbances and delayed growth. Imaging reveals a suprasellar mass, and histopathology shows wet keratin compact, eosinophilic anucleate keratin. What is the most likely diagnosis?
A child presents with visual disturbances and delayed growth. Imaging reveals a suprasellar mass, and histopathology shows wet keratin compact, eosinophilic anucleate keratin. What is the most likely diagnosis?
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Child with suprasellar mass, visual symptoms, endocrine problems, and wet keratin = craniopharyngioma.
Updated On: May 14, 2026
- Medulloblastoma
- Rathke pouch cyst
- Pituitary adenoma
- Craniopharyngioma
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The Correct Option is D
Solution and Explanation
Concept:
Craniopharyngioma is a suprasellar tumor derived from remnants of Rathke pouch. It commonly affects children and causes visual disturbances and endocrine abnormalities.
Step 1: Identify location.
The lesion is suprasellar, which is a common location for craniopharyngioma.
Step 2: Identify symptoms.
Visual disturbance occurs due to compression of the optic chiasm. Delayed growth occurs due to pituitary-hypothalamic involvement.
Step 3: Identify histology.
Wet keratin and eosinophilic anucleate keratin are classic for craniopharyngioma. Therefore, the correct answer is Craniopharyngioma.
Step 1: Identify location.
The lesion is suprasellar, which is a common location for craniopharyngioma.
Step 2: Identify symptoms.
Visual disturbance occurs due to compression of the optic chiasm. Delayed growth occurs due to pituitary-hypothalamic involvement.
Step 3: Identify histology.
Wet keratin and eosinophilic anucleate keratin are classic for craniopharyngioma. Therefore, the correct answer is Craniopharyngioma.
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