Craniopharyngioma is commoner in the pediatric age group, though it has a bimodal distribution. Visual and pressure symptoms are very typical.  When tumors are large, they tend to extend in all directions with mass effects on the midbrain and optic chiasm.

This case is typical for adamantinomatous craniopharyngioma which was subsequently histologically proven.

Histology:

Microscopic examination shows foci of proliferating squamous cells bordered by palisading columnar epithelium. The cells bear ovoid nuclei with regular nuclear outlines and no striking mitotic figures. Dystrophic calcifications are seen dispersed within the tissue.

Diagnosis: adamantinomatous craniopharyngioma