颅咽管瘤是颅内常见的胚胎残余组织肿瘤,在鞍区肿瘤中仅次于垂体瘤。由于其解剖学和内分泌学的特点,临床上具有神经、精神和内分泌改变等多方面的表现,缺乏特征性症状和体征,部分病人仅为肿瘤增大造成对周围的压迫症状,因此本病及时正确诊断有时甚为困难。我院自1979—1985年间15例延误诊断的颅咽管瘤,除2例外均为手术中所见及病理检查所证实。现从神经外 Craniopharyngiomas are common intracranial residual tissue tumors in the sellar area, second only to pituitary tumors. Because of its anatomical and endocrinological features, clinically with neurological, mental and endocrine changes in many aspects of the performance of the lack of characteristic symptoms and signs, some patients only cause the tumor around the oppression of the symptoms, so the timely manner of the disease Correct diagnosis is sometimes difficult. 15 cases of delayed diagnosis of craniopharyngioma in our hospital from 1979 to 1985, except 2 cases were confirmed by surgery and pathological examination confirmed. Now from the outside