Epidermal inclusion cyst of the clitoris 30 years after female genital mutilation

Excision of an Enlarging Vaginal Epidermal Inclusion Cyst During Pregnancy

“…Such trauma represents a broad spectrum including blunt trauma to deliberate trauma in the form of female genital mutilation [2Y9, 13]. Epithelial desquamation, secretions, and other debris then accumulate in a closed space, gradually increasing in size to form a cystic mass [8,9]. We hypothesize that these mechanisms led to the original cyst formation in our patient.…”

“…However, a few present with symptoms ranging from mass effect to even urinary obstruction [15]. Embedded epithelial tissue and sebaceous glands can be subjected to estrogenic stimulation, and hence, it is not uncommon Enlarging Epidermal Inclusion Cyst During Pregnancy & 323 to see epithelial inclusion cysts growing gradually over time [6,8,9]. However, cysts that become symptomatic acutely and specifically cause vulvar or urinary obstructive symptoms warrant surgical excision.…”

A case of vulval swelling secondary to female circumcision posing a diagnostic dilemma

“…Asante et al 13 in USA also reported a case of a 37-year-old female from Guinea with a large clitoral mass of 6 months duration confirmed in retrospect to be postcircumcision epidermal inclusion cyst. Dirie and Lindmark 14 in Somalia in their series of 290 patients reported few with vulval swellings.…”

Multiple Cysts Localized to the Vulva: A Case Report

“…3 Vulvar epidermoid cysts have been reported to be localized on the clitoral region (sometimes after female genital mutilation), labia majora and rarely on labium minus. 4,5 The differential diagnosis for papular/tumour genital lesions include cystic lesions (mucous cyst, cysts of the canal of Nuck, Bartholin´s cyst, Skene´s duct cyst), molluscum contagiosum, lichen nitidus, steatocystoma multiplex, milia, and calcinosis cutis. Other benign solid tumors, mesenchymal tumors, or malignant tumors of the vulva though rare, should be considered.…”