title: Large epidermal cyst of the clitoris: a novel diagnostic approach to assist in surgical removal.
abstract: BACKGROUND
  Epidermal cysts of the clitoris are uncommon and usually associated with previous trauma. Surgical removal is the preferred treatment with close attention to preserve sensation and vascular supply. The use of an alternative coil during Magnetic Resonance (MR) imaging to visualize the anatomy may improve surgical management and outcomes.
  
  
  METHODS
  A 15-year-old adolescent had a 2-year history of clitoral enlargement. Physical exam revealed a 4 × 5 cm clitoral cyst and normal hormonal evaluation. Initial MR with a pelvic coil showed poor resolution of neurovascular supply. MR was repeated using a small flex coil (commonly used on the wrist) placed as a sanitary napkin providing a higher resolution image of the neurovascular structures, which guided surgical intervention.
  
  
  CONCLUSIONS
  The use of the MR small flex coil to better visualize the external genital structures and clitoral anatomy improved preoperative evaluation and guided surgical management of the clitorial cyst.
authors: Departments of Obstetrics and Gynecology, Virginia Tech-Carilion School of Medicine, Roanoke, VA 24016, USA.
authors: Lee T
authors: LT
authors: Johnson
authors: Eduardo
authors: E
authors: Lara-Torre
authors: Amanda
authors: A
authors: Murchison
authors: Evelyn M
authors: EM
authors: Garcia
mesh_terms: D000293:Adolescent; D002987:Clitoris / Q000473:pathology* / Q000601:surgery; D004814:Epidermal Cyst / Q000175:diagnosis* / Q000601:surgery; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods*; D014845:Vulvar Diseases / Q000175:diagnosis* / Q000601:surgery