# Conjunction of ovarian dermoid cyst in a patient with Pituitary Micro Adenoma: A Case Report

**Authors:** Saroj Babu Aryal, Shasank Chitrakar, Akriti Panthi

PMC · DOI: 10.31729/jnma.9122 · JNMA: Journal of the Nepal Medical Association · 2025-06-30

## TL;DR

A rare case of a woman with both a pituitary tumor and an ovarian cyst is reported, highlighting the need for thorough diagnosis and multidisciplinary care.

## Contribution

The paper presents a rare co-occurrence of pituitary microadenoma and ovarian dermoid cyst, emphasizing diagnostic challenges.

## Key findings

- The case highlights the rare coexistence of pituitary adenoma and ovarian dermoid cyst.
- The patient experienced hormonal imbalances requiring symptomatic treatment.
- The relationship between elevated prolactin and ovarian dermoid cysts remains unclear.

## Abstract

Pituitary adenomas are common intracranial tumors, and ovarian dermoids are frequently encountered benign gynecological lesions. While both conditions are individually prevalent, their co-existence is rare and infrequently reported. This unusual combination may pose diagnostic challenges and warrants further exploration to determine any potential underlying link. We present a case of a 42-year-old Hindu female who was diagnosed case of a pituitary adenoma with a leftsided ovarian dermoid cyst resulting in a gynecological and hormonal imbalance. The diagnosis was confirmed by subsequent related investigations and the patient has been getting symptomatic treatment. This case underscores the importance of a comprehensive differential diagnosis in patients presenting with related symptoms and highlights the value of a multidisciplinary approach for timely diagnosis, effective management, and improved patient outcomes. Despite advancements, the relationship between elevated prolactin levels and the pathophysiology of ovarian dermoid cysts remains unclear. The synchronous occurrence of these two conditions is rare and continues to pose a diagnostic and therapeutic challenge for clinicians.

## Linked entities

- **Diseases:** pituitary adenoma (MONDO:0006373), ovarian dermoid cyst (MONDO:0008167)

## Full-text entities

- **Genes:** PRL (prolactin) [NCBI Gene 5617] {aka GHA1, pPRL}
- **Diseases:** abdominal pain (MESH:D015746), bitemporal hemianopia (MESH:D006423), PRESENTATION (MESH:D001946), oligomenorrhea (MESH:D009839), uterine myoma (MESH:D009214), Pituitary Micro Adenoma (MESH:D010911), benign tumors (MESH:D009369), ovarian dermoid cyst (MESH:C562731), blurred vision (MESH:D014786), pain (MESH:D010146), galactorrhea (MESH:D005687), Headaches (MESH:D006261), trauma (MESH:D014947), pituitary mass (MESH:C536030), amenorrhea (MESH:D000568), vomiting (MESH:D014839), neurological deficits (MESH:D009461), germ cell tumor (MESH:D009373), nonfunctioning adenomas (MESH:D000236), tumorigenesis (MESH:D063646), hyperprolactinaemia (MESH:D006966), Prolactinomas (MESH:D015175), lymphadenopathy (MESH:D008206), gynecomastia (MESH:D006177), nausea (MESH:D009325), Mature cystic teratomas (MESH:D013724), impotence (MESH:D007172), infertility (MESH:D007246), diplopia (MESH:D004172), breast masses (MESH:D061325), decreased libido (MESH:D009123), breast pain (MESH:D059373), pituitary microadenoma (MESH:D010900), cysts (MESH:D003560), dermoid (MESH:D003884), visual field deficits (MESH:D005128), growth hormone-secreting adenomas (MESH:D049912), ovarian (MESH:D010049), ACTH-secreting adenomas (MESH:D049913), galactorrhoea (MESH:C535402), benign ovarian germ cell tumours (MESH:D010051)
- **Chemicals:** octreotide (MESH:D015282), cabergoline (MESH:D000077465), bromocriptine (MESH:D001971)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

1 figure with captions in the complete paper: https://tomesphere.com/paper/PMC12820457/full.md

## References

11 references — full list in the complete paper: https://tomesphere.com/paper/PMC12820457/full.md

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Source: https://tomesphere.com/paper/PMC12820457