颅咽管瘤是比较常见的先天性颅内肿瘤,占颅内保瘤的3％-5％。现把178年-10年经本院脑外科手术切除经病理证实有42例,加以分析,现总结报告如下。 1 一般资料:本组资料占同期颅内肿瘤3％,与国内大多数文献相同,各年龄组都可发生,以青少年多见。本组年龄2岁-64岁,男女之比28;14。瘤体部位,鞍上型31例,鞍内型11例。瘤体直径为2.5cm-6.0cm。大部分瘤体与周围脑组织分界清楚,外有包膜,小部分瘤体分界不清。有35例为囊性,有7例部分实性部分囊性,切面囊内为淡黄色是液体,实性区外观呈灰白色,多伴有钙化和骨化。镜下:瘤体外为纤维组织形成的包膜,瘤体内有三种类型的细胞:鳞状上皮,柱状上皮,造釉细 Craniopharyngiomas are more common congenital intracranial tumors, accounting for 3% -5% of intracranial tumors. Now 178 years - 10 years by our hospital brain surgery confirmed pathologically confirmed 42 cases, to be analyzed, are summarized as follows. 1 General Information: This group of data accounted for 3% of intracranial tumors over the same period, with most of the same literature, all age groups can occur, more common in adolescents. The age group of 2 years old -64 years old, the ratio of men and women 28; 14. Tumor site, suprasellar type in 31 cases, 11 cases of saddle type. The diameter of the tumor is 2.5cm-6.0cm. Most of the tumor and the surrounding brain tissue clear boundaries, outside the envelope, a small part of the tumor delineation. There are 35 cases of cystic, 7 cases of partial solid cystic section of the capsule is light yellow liquid, solid area appearance was gray, mostly accompanied by calcification and ossification. Microscope: tumor outside the envelope formed by fibrous tissue, the tumor has three types of cells: squamous epithelium, columnar epithelium, made of fine glaze