无男性化表现的阴蒂异常：病因及治疗策略
Clitoral Abnormalities in the Absence of Virilization: Etiology and Treatment Strategies.
作者信息
Jesus Lisieux Eyer, Camelier Pedro, Bastos Jéssica, Tome Alberto S M, Dekermacher Samuel
机构信息
Department of Pediatric Surgery/Urology, Antonio Pedro University Hospital, Federal Fluminense University, Rio de Janeiro, Brazil; Servidores do Estado Federal Hospital, Rio de Janeiro, Brazil.
Department of Pediatric Surgery/Urology, Antonio Pedro University Hospital, Federal Fluminense University, Rio de Janeiro, Brazil.
出版信息
Urology. 2016 Feb;88:170-2. doi: 10.1016/j.urology.2015.10.020. Epub 2015 Nov 4.
OBJECTIVE
To report 3 cases of pseudoclitoromegaly and to describe the strategies used for differential diagnosis and treatment.
METHODS
Three cases and a literature review were described in this study.
RESULTS
Three cases referred for treatment of clitoromegaly were in fact cases of pseudoclitoromegaly caused by a hamartoma, a neurofibroma, and a hemangioma of the clitoral prepuce. Abnormal virilization was excluded and the tumors were successfully treated by surgical resection and genital esthetic reconstruction.
CONCLUSION
Clitoral abnormalities not associated with virilization syndromes are rare. Isolated abnormalities may affect the clitoris and the clitoral prepuce (pseudoclitoromegaly) and have multiple causes. The most frequent are inclusion cysts secondary to female circumcision, but a multiplicity of tumors, usually benign, may be found. Treatment is surgical, except for most infantile hemangiomas. Before deciding to offer surgical treatment, one should consider the degree of genital deformity and the risks of sensitivity loss and/or clitoral ischemia.
目的
报告3例假性阴蒂肥大病例，并描述用于鉴别诊断和治疗的策略。
方法
本研究描述了3例病例并进行了文献综述。
结果
3例因阴蒂肥大前来治疗的病例实际上是由阴蒂包皮错构瘤、神经纤维瘤和血管瘤引起的假性阴蒂肥大。排除了异常男性化情况，通过手术切除和生殖器美学重建成功治疗了肿瘤。
结论
与男性化综合征无关的阴蒂异常罕见。孤立的异常可能影响阴蒂和阴蒂包皮（假性阴蒂肥大），且病因多样。最常见的是女性环切术后的包涵囊肿，但也可能发现多种通常为良性的肿瘤。除大多数婴儿血管瘤外，治疗方法为手术。在决定提供手术治疗之前，应考虑生殖器畸形的程度以及感觉丧失和/或阴蒂缺血的风险。
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