Abstract:
Clitoral mass is not commonly encountered in Gynecology practice and the
literature is scanty. Clitoral mass can be due to Cancer, Granuloma,
epidermoid cyst, peri-clitoral abscess, fibroid and
Neuromas1 and clinical presentation is overlapping
making it difficult to diagnose. Clitoral cancer is a form of vulvar
cancer, is an unpleasant dreadful malignancy and is very rare. Rare case
reports of pyogenic granuloma of the labia and clitoris in
postmenopausal women with similar presentation and diagnosed by
histopathology requiring excision. Similarly neuromas of clitoris are
also a known entity seen mainly after FGM.
Aim : Awareness regarding the rare causes of clitoral mass
including malignancy and granuloma with their overlapping symptoms.
Materials & Methods : Prospective observational case report.
Conclusion: A Multidisciplinary approach is important to
diagnose and differentiate the clitoris granuloma from that of
malignancy. The clinical examination and imaging can be misleading at
times and diagnosis is only by histopathology
Clinical Significance: Multidisciplinary team involvement and
through counseling is needed. Significance of clitoris is well
established as the most vital part in sexual function, there is an
urgent need to focus our attention on more and more case reports and
reviews on its literature of disease related to clitoris.
Keywords: clitoris, clitoral mass, granulomatous disease of vulva,