A 9-year-old boy presents with progressive headaches, growth failure, and visual field defects. Vital signs show BP 98/62, HR 88, RR 18, temp 37°C, SpO2 98%. He denies polyuria and polydipsia. Fasting glucose is 105 mg/dL. MRI of the brain reveals a suprasellar cystic mass with central calcifications and mass effect on the optic chiasm. Which of the following is the most likely diagnosis?
- A)Meningioma
- B)CraniopharyngiomaGABARITO
- C)Pituitary prolactinoma
- D)Pheochromocytoma
- E)Rathke cleft cyst without symptoms
Explicação
Craniopharyngioma is a benign tumor derived from Rathke pouch remnants. Children classically present with a calcified suprasellar mass causing headaches, bitemporal hemianopia, and endocrine dysfunction such as growth failure. The cystic lesion often contains ... Ver explicação completa e trilha adaptativa →