Cavernous haemangioma mimicking as clitoral hypertrophy

Area of Science:

• Pediatric Oncology
• Gynecologic Pathology
• Vascular Anomalies

Background:

• Hemangiomas are common benign neoplasms in infants, typically affecting the head, neck, trunk, and extremities.
• Clitoral hemangiomas are exceptionally rare, with only four cases previously reported in medical literature.
• Distinguishing clitoral hemangioma from clitoromegaly due to androgen excess is clinically significant.

Observation:

• A 10-year-old girl presented with clitoromegaly.
• Hormonal assays were within normal limits, ruling out androgen excess as the cause.
• Histopathological examination confirmed the clitoral mass as a cavernous hemangioma.

Findings:

• This report details a fifth case of clitoromegaly caused by a clitoral cavernous hemangioma.
• The patient's presentation with normal hormonal levels underscores the need for thorough diagnostic evaluation.
• Histopathology is crucial for definitive diagnosis of clitoral hemangioma.

Implications:

• This case expands the understanding of rare presentations of infantile hemangiomas.
• It emphasizes the importance of considering vascular anomalies in the differential diagnosis of pediatric clitoromegaly.
• Accurate diagnosis prevents unnecessary hormonal treatments and guides appropriate management.