clayton wiley md/phd. the patient is a 72-year-old male who presents with bitemporal hemianopsia...
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![Page 1: Clayton Wiley MD/PhD. The patient is a 72-year-old male who presents with bitemporal hemianopsia without endocrine abnormalities. Diagram bitemporal hemianopsia?](https://reader035.vdocuments.mx/reader035/viewer/2022081801/5a4d1b877f8b9ab0599bceb1/html5/thumbnails/1.jpg)
Clayton Wiley MD/PhD
![Page 2: Clayton Wiley MD/PhD. The patient is a 72-year-old male who presents with bitemporal hemianopsia without endocrine abnormalities. Diagram bitemporal hemianopsia?](https://reader035.vdocuments.mx/reader035/viewer/2022081801/5a4d1b877f8b9ab0599bceb1/html5/thumbnails/2.jpg)
The patient is a 72-year-old male who presents with bitemporal hemianopsia without endocrine abnormalities.
Diagram bitemporal hemianopsia?
Question 1
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www.dwp.gov.uk
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Coronal T1
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Coronal +Contrast
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Sagittal +contrast
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What is the differential diagnosis based on MRI/age.
Question 2
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Suprasellar lesions include:AneurysmDermoid/epidermoid cystCraniopharyngiomaGranular cell tumorHypophysitisHypothalamic neuronal hamartomaMeningiomaMetastasisOptic gliomaPituitary macroadenomaRathke's cystXanthogranuloma
Answer
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The surgeon performs an endoscopic endonasal biopsy, and an intraoperative evaluation is requested. Describe the cytologic features of the smear.
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Question 3
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The patient undergoes resection. Review the permanent section. Describe the histologic features of this lesion.
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Question 5
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What is your final diagnosis?
Question 6
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Craniopharyngioma, adamantinomatous-type
Answer
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What is the corresponding WHO grade of this lesion?
Question 8
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WHO grade I
Answer
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How would you expect this material to appear grossly?
Question 10
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Thick brownish-yellow fluid, like machine oil, possibly with crumbly debris.
Answer
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From what embryologic structure is this tumor presumed to develop?
Question 11
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Rathke pouch epithelium
Answer