[Clitoral epidermoid cyst causing clitoromegaly. A rare case report]

Area of Science:

• Gynecology
• Pathology
• Surgical Anatomy

Background:

• Clitoromegaly is an uncommon condition, often attributed to congenital, hormonal, or tumoral causes.
• Epidermoid cysts are rare and can arise from trauma or spontaneously.

Observation:

• A 53-year-old woman was misdiagnosed with hormonal clitoromegaly.
• Surgical exploration revealed an epidermoid cyst as the cause of clitoral hypertrophy.

Findings:

• This case highlights that cystic lesions, such as epidermoid cysts, should be considered in the differential diagnosis of clitoromegaly.
• Preoperative imaging, including ultrasound and MRI, is recommended when the etiology of clitoral hypertrophy is uncertain.

Implications:

• Early and accurate diagnosis of the cause of clitoromegaly is essential for appropriate management.
• Identifying a cystic origin allows for surgical planning that preserves the delicate vascularization and innervation of the clitoris.