Successful management of a giant primary epidermoid cyst arising in the labia majora

Yang, Wenming; Huang, Wen Chen; Yang, Jenn Ming; Lee, Fa Kung

doi:10.1016/j.tjog.2012.01.023

Cited by 12 publications

(23 citation statements)

References 4 publications

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“…Similar to these previous reports, the patient in the case reported here had a cyst 31 years after FGM. The largest epidermoid mass that developed in the labium major was reported by Yang et al and was about 12 cm in size with 10 years of clinical history (28). From this perspective, a mass of 13 cm accompanied by vitiligo lesions with a delay of 31 years in presentation is the largest epidermoid mass with peculiar characteristics reported in the literature.…”

Section: Discussionmentioning

confidence: 90%

The largest epidermal cyst with vitiligo lesions following female genital mutilation: a case report and literature review

Öztürk

Zindancı

Zemheri

et al. 2018

Acta Dermatovenerologica Alpina Pannonica Et Adriatica

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Epidermoid vulvar cystic lesions are proliferations of epidermal cells that can occur as a complication of female genital mutilation (FGM), which is still a common practice in many cultures, especially in Africa. A 36-year-old Sudanese woman presented with an enlarged clitoral mass that had first appeared 2 years earlier. Her medical history showed that she had undergone FGM when she was 3 years old. A perineal examination revealed a mobile, nontender, rounded cystic swelling with vitiligo lesions. After the cyst was excised, it revealed a 13 ×11 × 11 cm unilocular round mass. An epidermoid cyst was reported following microscopy. Follow-up 6 months later revealed a good result with no recurrence. To date, this is the largest epidermoid cyst following FGM and the first one with vitiligo lesions reported in the literature.

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Section: Discussionmentioning

confidence: 90%

The largest epidermal cyst with vitiligo lesions following female genital mutilation: a case report and literature review

Öztürk

Zindancı

Zemheri

et al. 2018

Acta Dermatovenerologica Alpina Pannonica Et Adriatica

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“…As is the case with our patient, the patients may experience difficulty in walking because of the large cystic mass or a complicated and painful mass [7] . The diameter of the largest epidermal cyst so far reported in the literature has been 12 cm [11] .…”

Section: Discussionmentioning

confidence: 99%

“…However, if the mass extends into the vicinity of the clitoris and anus, the inferior haemorrhoidal and clitoral branches of the pudendal vessels may be traumatized leading to bleeding episodes. Haemostatic sutures should be used in cases of diffuse bleeding [11] .…”

Section: Discussionmentioning

confidence: 99%

Epidermal cyst in an unusual site: A case report

Pehlıvan

Özbay

Temür

et al. 2015

International Journal of Surgery Case Reports

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HighlightsEpidermal cysts can be located in any part of the body, though mainly on the face, torso, extremities and scalp, but they are rarely localized on the vulva.Most of the vulvar epidermal cysts described so far have been localized on the clitoris; and circumcision procedures and trauma have been demonstrated as underlying causes.Our patient, had not been previously exposed to trauma or undergone any surgical intervention.Vulvar epidermal cyst should be considered in the differential diagnosis of vulvar mass.

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“…In our case, the girl was aware of the vulvar mass since menarche which is slowly growing but she did not seek any medical help until the mass became painful. The diameter of the largest epidermal cyst so far reported in the literature has been 12 cm in a 33-year-old woman [ 4 ]. Our case was an adolescent girl and the diameter was 11 cm in left vulva including labia majora which is the first case in literature for vulvar epidermoid cyst in an adolescent girl.…”

Section: Discussionmentioning

confidence: 99%

“…There are various benign cystic masses developing in vulvar site including Bartholin cyst of vulva, epidermoid cyst, Nuck canal cyst, lipoma, and endometrioma [ 3 ]. Although, a giant vulvar mass with diameter of up to 15 cm on examination was reported in a recent study [ 4 ]. Vulvar epidermal cysts are usually multicystic and slowly growing and a great portion of loculus is less than 1 cm [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Giant Vulvar Epidermoid Cyst in an Adolescent Girl

Karaman

Çim

Akdemir

et al. 2015

Case Reports in Obstetrics and Gynecology

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Introduction. Vulvar cyst in adolescent girls is very uncommon. Epidermoid cyst can be seen in many sites including face, trunk, and extremities but its occurrence in vulva is uncommon. This is the first case of epidermoid cyst of vulva reported in an adolescent girl. Case. A 17-year-old, adolescent girl admitted to our gynecology outpatient clinic with a complaint of painful and palpable mass in her vulva. On examination, a giant mass located in left vulva and labia majora with 11 cm in diameter was seen. The magnetic resonance imaging (MRI) showed a well-defined cystic mass without contrast enhancement. The surgery was advised to the patient and the pathologic examination of mass revealed vulvar epidermoid cyst. Discussion. Vulvar cysts generally grow slowly and the main etiologies are vulvar trauma and surgical interventions including episiotomy and female circumcision in some culture. The exact treatment is total surgical excision and pathologic examination. MRI is an important imaging modality for detection of extension to deep perineal tissue and localization of mass in vulva especially in giant ones. Conclusion. Although vulvar mass in adolescents is rare, the epidermoid cyst with benign origin should be kept in mind.

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Successful management of a giant primary epidermoid cyst arising in the labia majora

Cited by 12 publications

References 4 publications

The largest epidermal cyst with vitiligo lesions following female genital mutilation: a case report and literature review

The largest epidermal cyst with vitiligo lesions following female genital mutilation: a case report and literature review

Epidermal cyst in an unusual site: A case report

Giant Vulvar Epidermoid Cyst in an Adolescent Girl

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