Giant vulvar epidermoid cyst in an adolescent girl.


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KARAMAN E., ÇIM N., AKDEMIR Z., ELÇI E., Akdeniz H.

Case reports in obstetrics and gynecology, vol.2015, pp.942190, 2015 (Peer-Reviewed Journal) identifier

  • Publication Type: Article / Article
  • Volume: 2015
  • Publication Date: 2015
  • Doi Number: 10.1155/2015/942190
  • Journal Name: Case reports in obstetrics and gynecology
  • Journal Indexes: Scopus
  • Page Numbers: pp.942190

Abstract

Introduction.Vulvarcystinadolescentgirlsisveryuncommon.Epidermoidcystcanbeseeninmanysitesincludingface,trunk, andextremitiesbutitsoccurrenceinvulvaisuncommon.Thisisthefirstcaseofepidermoidcystofvulvareportedinanadolescent girl.Case.A17-year-old,adolescentgirladmittedtoourgynecologyoutpatientclinicwithacomplaintofpainfulandpalpablemass inhervulva.Onexamination,agiantmasslocatedinleftvulvaandlabiamajorawith11cmindiameterwasseen.Themagnetic resonanceimaging(MRI)showedawell-definedcysticmasswithoutcontrastenhancement.Thesurgerywasadvisedtothepatient and the pathologic examination of mass revealed vulvar epidermoid cyst.Discussion. Vulvar cysts generally grow slowly and the mainetiologiesarevulvartraumaandsurgicalinterventionsincludingepisiotomyandfemalecircumcisioninsomeculture.The exact treatment is total surgical excision and pathologic examination. MRI is an important imaging modality for detection of extension to deep perineal tissue and localization of mass in vulva especially in giant ones. Conclusion. Although vulvar mass in adolescentsisrare,theepidermoidcystwithbenignoriginshouldbekeptinmind.