Department of Medicine, Stanford University School of Medicine, CA 94305-5109, USA.
Dermatol Clin. 2011 Jan;29(1):103-9. doi: 10.1016/j.det.2010.09.002.
Female genital mutilation (FGM) has become more common in the United States with increased immigration to the United States of individuals from areas where the practice is endemic. Although the root causes of FGM may be multiple, the practice is banned in the United States on all women under age 18 and is increasingly being outlawed by individual state legislatures. American dermatologists should expect to see a growing number of patients having undergone FGM who may present with complications ranging from keloids and epidermal cysts to clitoral neuromas and abscess formation. While treatment of such complications is often elusive and unsuccessful, recognition of the practice may prevent future patient abuse and death. The eradication of FGM will require the concerted efforts of many individuals, both within and outside of the health care field, with dermatologists poised to play a crucial role in diagnosis and management in the near future.
女性生殖器切割（FGM）在美国越来越普遍，因为移民到美国的人来自该行为流行的地区。尽管 FGM 的根本原因可能是多方面的，但该行为在美国所有 18 岁以下的女性中被禁止，并且越来越多的州立法机构也将其取缔。美国皮肤科医生应该预计会看到越来越多接受过 FGM 的患者，他们可能会出现从瘢痕疙瘩和表皮囊肿到阴蒂神经瘤和脓肿形成等并发症。虽然治疗这些并发症往往难以捉摸且不成功，但认识到这种做法可能会防止未来对患者的虐待和死亡。消除 FGM 需要许多人的共同努力，包括医疗保健领域内外的人，皮肤科医生有望在不久的将来在诊断和管理方面发挥关键作用。
