Fused Clitoral Hood Presenting as a Periclitoral Mass

Area of Science:

• Gynecologic Oncology
• Dermatology
• Anatomic Pathology

Background:

• Periclitoral masses are rare clinical findings.
• Congenital fusion of the clitoral prepuce (hood) is an uncommon cause.
• This condition can lead to the accumulation of sebaceous material.

Purpose of the Study:

• To report a case of a periclitoral mass caused by a fused clitoral prepuce.
• To highlight the importance of considering this diagnosis in cases of suspected periclitoral masses.
• To describe the surgical management and outcome.

Main Methods:

• A patient presented with a suspicious periclitoral mass.
• Evaluation in a gynecologic oncology practice.
• Surgical excision of the fused clitoral prepuce.
• Reconstruction of the clitoral hood.

Main Results:

• The periclitoral mass was found to be due to a congenitally fused clitoral prepuce.
• Surgical excision released trapped sebaceous material.
• The underlying glans clitoris appeared normal after removal of the obstruction.
• Clitoral hood reconstruction achieved normal external genitalia anatomy.

Conclusions:

• Fused clitoral prepuce can mimic an expanding periclitoral mass due to trapped sebaceous material.
• This condition should be included in the differential diagnosis of periclitoral masses.
• Surgical intervention is effective in resolving the mass and restoring normal anatomy.