Clitoral anomalies not associated with disorders of sex development

Abstract Clitoral enlargement secondary to any hormonal, gonadal or chromosomal alteration must be differentiated from many other diseases that affect the clitoral structure in children. This study describes a few anomalies that affect the clitoris by enlarging it, with no corresponding hypertrophie...

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Bibliographic Details
Published in:Journal of pediatric surgery case reports 2013-11, Vol.1 (11), p.403-405
Main Authors: Gomes, Adriano Luís, Onofre, Luciano Silveira, Leão, Jovelino Quintino de Souza, Leão, Fernanda Ghilardi, Amaral Cruz, Tayane Magalhães, Sircilli, Maria Helena Palma, Carnevale, José
Format: Article
Language:English
Subjects:
Acquired clitoromegaly
Clitoral enlargement
Clitoris
Clitoromegaly
Surgery
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Summary:Abstract Clitoral enlargement secondary to any hormonal, gonadal or chromosomal alteration must be differentiated from many other diseases that affect the clitoral structure in children. This study describes a few anomalies that affect the clitoris by enlarging it, with no corresponding hypertrophies of the erectile bodies or glans that characterize clitoromegaly (CMG) itself, or endocrine or genetic etiology. The first patient had nothing but the clitoral hood enlarged, and following surgical correction the anatomopathological exam revealed lymphoangiofibroma. The second patient presented with an epidermoid cyst on the clitoral body and the third one, with a diffuse involvement of the hood alone, was a soft fibroma. All had normal body and glans. Investigation of the evolution of those diseases through careful anamnesis and physical examination reduces the need for time consuming investigations and complex complementary exams prior to the surgical approach, minimizing embarrassment and anxiety on the part of the patients and their family.
ISSN:2213-5766
2213-5766
DOI:10.1016/j.epsc.2013.11.003