title: Vascular hamartoma:  an unusual cause of clitoromegaly in an 18-year-old patient.
abstract: OBJECTIVE
  Clitoromegaly encountered in clinical practice is more commonly due to endocrinopathies either congenital or acquired. However, acquired clitoromegaly due to a nonhormonal cause is quite rare. The authors report a case of nonhormonal-acquired clitoromegaly in a woman.
  
  
  METHODS
  This is a case report of an 18-year-old patient with slowly increasing swelling in the vulval area for the past 6 months. Clinical examination revealed an enlarged, soft, nontender clitoris (4 × 2.5 cm), with a lobulated surface.
  
  
  RESULTS
  Frozen section from clitoral mass showed a benign tumor. Surgical excision of the mass was carried out, preserving the glans. Histopathologic examination of the excised mass showed congested blood vessels and fibromuscular tissue with free nerve endings suggestive of vascular hamartoma of clitoris.
  
  
  CONCLUSIONS
  The correct diagnosis of clitoromegaly is essential so that suitable therapy is instituted. Thus, management of such cases needs a good clinical judgment and a judicious individualization of management protocols.
authors.affiliation: Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India.
authors.forename: Aprajita
authors.initials: A
authors.lastname: Singh
authors.forename: Sanjeev S
authors.initials: SS
authors.lastname: Chitragar
authors.forename: Vatsla
authors.initials: V
authors.lastname: Dadhwal
authors.forename: Vijay Laxmi
authors.initials: VL
authors.lastname: Jindal
authors.forename: Aparna K
authors.initials: AK
authors.lastname: Sharma
authors.forename: Vaishali
authors.initials: V
authors.lastname: Suri
authors.forename: Suneeta
authors.initials: S
authors.lastname: Mittal
mesh_terms: D000293:Adolescent; D002987:Clitoris / Q000098:blood supply / Q000473:pathology* / Q000601:surgery*; D004487:Edema / Q000175:diagnosis / Q000209:etiology; D005260:Female; D005500:Follow-Up Studies; D006222:Hamartoma / Q000473:pathology* / Q000601:surgery; D006801:Humans; D006984:Hypertrophy / Q000473:pathology / Q000601:surgery; D035583:Rare Diseases; D018570:Risk Assessment; D016896:Treatment Outcome; D014845:Vulvar Diseases / Q000473:pathology* / Q000601:surgery