Late complications of childhood female genital mutilation.
BACKGROUND
Canada's immigrants are increasingly from non-English-speaking countries with different medical issues. Female genital mutilation (FGM) is a procedure performed for non-medical reasons that is not traditionally encountered in Canada and that has serious health implications for women.


METHODS
A 36-year-old woman, who underwent FGM at the age of four, presented to our colposcopy unit with increasing swelling of the vulva. Examination revealed a large cystic mass in the midline of the vulva, and MRI identified two well-defined cystic lesions. The mass was excised, and histologic examination confirmed an epidermal inclusion cyst.


CONCLUSIONS
An epidermal inclusion cyst can develop as a long-term consequence of FGM. Although it grows slowly and usually without symptoms, it may require excision because of inflammation, secondary infection, or, in rare cases, malignancy developing within the cyst.
Hamoudi
Aseel
A
Department of Obstetrics and Gynaecology, University of Toronto, Toronto ON; Sunnybrook Health Sciences Centre, Toronto ON.
Shier
Michael
M
Department of Obstetrics and Gynaecology, University of Toronto, Toronto ON; Sunnybrook Health Sciences Centre, Toronto ON.
D000328:Adult; D002675:Child, Preschool; D019093:Circumcision, Female / Q000009:adverse effects*; D054242:Emigrants and Immigrants; D004814:Epidermal Cyst / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D005260:Female; D006801:Humans; D014845:Vulvar Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery