Papillary craniopharyngioma coexisting with an intratumoral abscess in a pediatric patient: A case report and review of the literature. (1st July 2021)

• Record Type: Journal Article
• Authors: Takagi, Katsuhiro; Kikuchi, Kazufumi; Hiwatashi, Akio; Togao, Osamu; Sangatsuda, Yuhei; Kuga, Daisuke; Mizoguchi, Masahiro; Yamamoto, Hidetaka; Iwaki, Toru; Ishigami, Kousei
• Is Part Of: Acta radiologica open. Volume 10:Number 7(2021)
• Publication Date: 2021-07-01
• Subjects: Craniopharyngioma -- papillary craniopharyngioma -- adamantinomatous craniopharyngioma -- pituitary abscess -- diffusion-weighted imaging; Radiology -- Periodicals; Diagnostic Imaging -- Periodicals; Radiology; Periodicals; 616.075705
• DOI: 10.1177/20584601211030661
• Languages: English
• ISSNs: 2058-4601

Abstract

Craniopharyngiomas are benign neoplasms with two histological subtypes: adamantinomatous and papillary. Papillary craniopharyngiomas are rare in children, and those with a pituitary abscess within are even rarer. Herein, we present the case of a 14-year-old boy with a papillary craniopharyngioma and a coexisting intratumoral abscess, who was hospitalized for persistent pyrexia, polyuria, and polydipsia. The absence of calcification on computed tomography, high signal intensity inside the tumor on diffusion-weighted imaging, and clinical findings such as fever, a high inflammatory response, and meningitis, as well as short-term morphological changes on imaging, could aid in diagnosis.