rathke cysts and pituitary tumors are two completely different diseases. The former is generally related to the congenital growth and development process, due to the imperfection of the development process, a considerable number of patients may not have any manifestations, and only need to be dealt with when there are symptoms of pressure or abnormal hormone levels. Most of the latter are not congenital, but are caused by different reasons, and a considerable number of them will have different degrees of functional abnormalities, with corresponding clinical manifestations or compression symptoms. Most of them need to be treated with surgery or medication, and some of them need to be reviewed periodically.