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,