A giant prolactinoma with nasopharyngeal extension presenting with nasal blockage and epistaxis

Prolactinomas account for 57% of pituitary tumours. 1 Female patients with prolactinoma typically present with menstrual irregularities and galactorrhoea; however, galactorrhoea may be absent in patients with severe hypogonadism, as seen in our present case. 2 Giant prolactinoma presenting with nasal blockage and epistaxis is rare in the current literature. 3 Cabergoline (a dopamine receptor agonist) is the first-line treatment for these patients, with endoscopic trans-spheroidal surgery and radiosurgery as secondary alternatives.