Clitoral Epidermoid Cyst Presenting as Pseudoclitoromegaly of Pregnancy

Jing W. Hughes; Marsha K. Guess; Adam Hittelman; Sallis Yip; John Astle; Lubna Pal; Silvio E. Inzucchi; Antonette T. Dulay

doi:10.1055/s-0033-1334461

American Journal of Perinatology Reports, Inhaltsverzeichnis

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

¹Section of Endocrinology and Metabolism, Yale University School of Medicine, New Haven, Connecticut

,

Marsha K. Guess

²Department of Obstetrics, Gynecology and Reproductive Sciences, Yale University School of Medicine, New Haven, Connecticut

,

Adam Hittelman

³Department of Urology and Pediatric Urology, Yale University School of Medicine, New Haven, Connecticut

,

Sallis Yip

⁴Department of Urogynecology and Reconstructive Pelvic Surgery, Yale University School of Medicine, New Haven, Connecticut

,

John Astle

⁵Department of Pathology, Yale University School of Medicine, New Haven, Connecticut

,

Lubna Pal

²Department of Obstetrics, Gynecology and Reproductive Sciences, Yale University School of Medicine, New Haven, Connecticut

,

Silvio E. Inzucchi

¹Section of Endocrinology and Metabolism, Yale University School of Medicine, New Haven, Connecticut

,

Antonette T. Dulay

⁶Yale Maternal-Fetal Medicine, Department of Obstetrics, Gynecology and Reproductive Sciences, Yale University School of Medicine, New Haven, Connecticut

› Institutsangaben

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.

Keywords

clitoromegaly - pseudoclitoromegaly - pregnancy - epidermoid cyst

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Referenzen

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