Plexiform schwannoma: an unusual clitoral mass.
Acquired clitoral enlargement is a rare condition resulting from a variety of etiologies, including tumors and excess androgens. Few cases of nonmalignant schwannoma, a benign tumor of the peripheral nerve sheath, have been reported in the literature as causes of clitoral enlargement in patients without known neurofibromatosis. These painless, slow-growing tumors rarely recur once excised. We present the initial investigation of a patient with a large clitoral schwannoma and subsequent treatment with partial vulvectomy. The workup, including advanced pelvic imaging for diagnosis and surgical planning, as well as removal of the clitoral tumor with preservation of functional tissue and restoration of normal vulvar anatomy despite a large excision, is demonstrated.
Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI. Electronic address: asammarc@med.umich.edu.
Anne G
AG
Sammarco
Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI.
Noor M
NM
Abualnadi
University of Michigan Medical School, Ann Arbor, MI.
Elizabeth A
EA
Andraska
Department of Biomedical Engineering, University of Michigan, Ann Arbor, MI.
Paige V
PV
Tracy
Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI.
Mitchell B
MB
Berger
Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI.
Hope K
HK
Haefner
D000328:Adult; D002987:Clitoris; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods; D006801:Humans; D009442:Neurilemmoma / Q000473:pathology / Q000601:surgery; D014846:Vulvar Neoplasms / Q000473:pathology / Q000601:surgery
clitoral tumor; clitoromegaly; schwannoma