Isolated Craniopharyngioma In The Nasal Cavity

We describe the occurrence of a papillary squamous infrasellar craniopharyngioma isolated to the nasal cavity and maxillary sinus in a 48-year-old male presenting with epistaxis and nasal obstruction. Diagnosis was made by histological analysis of incisional biopsy in clinic. Computed tomography and magnetic resonance imaging were performed to evaluate the extent of tumor involvement. The tumor was excised by endoscopic surgery in the operating room with intraoperative frozen section analysis to confirm clear margins. The patient had an uncomplicated post-operative course and no evidence of tumor recurrence at eight months follow-up. This represents the third confirmed case of infrasellar craniopharyngioma isolated to the nasal cavity.