AJP Rep 2013; 03(01): 057-062
DOI: 10.1055/s-0033-1334461
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Clitoral Epidermoid Cyst Presenting as Pseudoclitoromegaly of Pregnancy

Jing W. Hughes
1   Section of Endocrinology and Metabolism, Yale University School of Medicine, New Haven, Connecticut
,
Marsha K. Guess
2   Department of Obstetrics, Gynecology and Reproductive Sciences, Yale University School of Medicine, New Haven, Connecticut
,
Adam Hittelman
3   Department of Urology and Pediatric Urology, Yale University School of Medicine, New Haven, Connecticut
,
Sallis Yip
4   Department of Urogynecology and Reconstructive Pelvic Surgery, Yale University School of Medicine, New Haven, Connecticut
,
John Astle
5   Department of Pathology, Yale University School of Medicine, New Haven, Connecticut
,
Lubna Pal
2   Department of Obstetrics, Gynecology and Reproductive Sciences, Yale University School of Medicine, New Haven, Connecticut
,
Silvio E. Inzucchi
1   Section of Endocrinology and Metabolism, Yale University School of Medicine, New Haven, Connecticut
,
Antonette T. Dulay
6   Yale Maternal-Fetal Medicine, Department of Obstetrics, Gynecology and Reproductive Sciences, Yale University School of Medicine, New Haven, Connecticut
› Author Affiliations
Further Information

Publication History

04 December 2012

02 January 2013

Publication Date:
07 February 2013 (online)

Abstract

Objective Acquired clitoromegaly is rare and may result from hormonal and nonhormonal causes, and evaluation of the pregnant patient with clitoromegaly invokes a specific set of differential diagnoses.

Methods Case report.

Results We describe the case of a young woman with pregnancy-associated clitoral enlargement whose hormonal evaluation proved negative. Further investigation concluded that an epidermoid cyst was the culprit of her pseudoclitoromegaly. The patient underwent successful surgical resection and has had no recurrence at her subsequent pregnancy.

Conclusion We review the differential diagnosis of clitoromegaly, including hormonal and nonhormonal causes, with focus on the evaluation of pregnancy-associated clitoromegaly.

 
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