Preputial epidermoid cyst: an atypical case of acquired pseudoclitoromegaly.
OBJECTIVE
Clitoromegaly and pseudoclitoromegaly are rare conditions with both congenital and acquired causes. Acquired causes of adult onset have most frequently been reported to occur in the setting of female genital cutting or neurofibromatosis.


METHODS
Case report.


RESULTS
We describe the management of a 47-year-old postmenopausal woman who presented with a 1-year history of a progressive and painful enlargement of her clitoris. Surgical resection revealed an epidermoid, or follicular infundibular, cyst of the prepuce.


CONCLUSIONS
A review of the etiology underlying acquired clitoromegaly and pseudoclitoromegaly is presented. Previously published cases of pseudoclitoromegaly secondary to cysts are reviewed, all of which were congenital or secondary to female genital cutting, abscesses, or puberty. We report the first case of a postmenopausal woman with no previous history of female genital cutting or infection with a preputial epidermoid cyst. Local cysts or tumors should be considered in the differential diagnosis as causes of pseudoclitoromegaly.
Paulus
Yannis M
YM
Stanford University School of Medicine, Department of Obstetrics and Gynecology, Stanford, CA 94305, USA.
Wong
Amy E
AE
Chen
Bertha
B
Jacobson
Mary T
MT
D002987:Clitoris / Q000473:pathology* / Q000601:surgery; D004814:Epidermal Cyst / Q000175:diagnosis* / Q000473:pathology* / Q000601:surgery; D005260:Female; D006801:Humans; D008875:Middle Aged