Massive epidermal vulval cyst: an unusual late complication of female genital mutilation

BMJ Case Rep. 2017 Aug 16:2017:bcr2017220335. doi: 10.1136/bcr-2017-220335.

Abstract

Vulval epidermal cysts are rare and infrequently described in literature. They present a difficult diagnostic dilemma and surgical challenges. They most commonly occur as a late complication of female genital mutilation (FGM) and manifest as a primary condition. We present a case of a large vulval epidermal inclusion cyst, lined by vulval squamous epithelium, in a woman with a background of FGM who was referred with suspected vulval cancer. We discuss the clinical presentation, MRI findings, surgical treatment and outcome.

Keywords: obstetrics and gynaecology; vulvovaginal disorders.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Circumcision, Female / adverse effects*
  • Diagnosis, Differential
  • Epidermal Cyst / diagnosis*
  • Epidermal Cyst / diagnostic imaging
  • Epidermal Cyst / etiology
  • Epidermal Cyst / surgery
  • Female
  • Humans
  • Vulvar Diseases / diagnosis*
  • Vulvar Diseases / diagnostic imaging
  • Vulvar Diseases / etiology
  • Vulvar Diseases / surgery