8-year-old with growth hormone deficiency and central hypothyroidism presented to assess for congenital abnormality and pituitary lesion.

A sellar and suprasellar mass lesion with cystic and solid components was detected, for which the patient underwent surgery with subtotal resection. 

Histological examination revealed an adamantinomatous craniopharyngioma. No radiation therapy was carried out. The patient developed postoperative diabetes insipidus.

This case shows the importance of considering an adamantinomatous craniopharyngioma among the diagnosis options when we encounter a mixed sellar- and suprasellar cystic/solid lesion.