导致性高潮障碍的阴蒂表皮样囊肿：一例报告及文献复习
Clitoral Epidermal Inclusion Cyst Leading to Anorgasmia: A Case Report and Literature Review.
作者信息
DiCarlo-Meacham Angela M, Dengler Katherine L, Snitchler Andrea N, Gruber Daniel D
机构信息
Department of Obstetrics and Gynecology, Walter Reed National Military Medical Center, Bethesda, Maryland.
Department of Obstetrics and Gynecology, Walter Reed National Military Medical Center, Bethesda, Maryland.
出版信息
J Pediatr Adolesc Gynecol. 2020 Jun;33(3):321-323. doi: 10.1016/j.jpag.2020.01.150. Epub 2020 Feb 3.
BACKGROUND
Clitoral epidermal inclusions cysts are most frequently seen following trauma, especially female genital mutilation. Spontaneous clitoral epidermal inclusion cysts are rare with an unclear etiology and their impact on later sexual function has not been described.
CASE
A 15-year-old spontaneously developed a clitoral mass that progressively enlarged over seven years, ultimately leading to secondary anorgasmia. Surgical removal resulted in restoration of normal anatomy and complete return of clitoral function. Final pathology revealed the mass to be an epidermal inclusion cyst.
SUMMARY AND CONCLUSION
Clitoral epidermal inclusion cysts typically present in childhood or early adolescence and can lead to sexual dysfunction if left untreated. Physicians must consider the potential sequelae of these cysts when counseling and managing these patients.
背景
阴蒂表皮包涵囊肿最常见于外伤后，尤其是女性生殖器切割术后。自发性阴蒂表皮包涵囊肿罕见，病因不明，其对后期性功能的影响尚无描述。
病例
一名15岁女性自发出现阴蒂肿物，该肿物在7年内逐渐增大，最终导致继发性性高潮障碍。手术切除后恢复了正常解剖结构，阴蒂功能完全恢复。最终病理显示肿物为表皮包涵囊肿。
总结与结论
阴蒂表皮包涵囊肿通常在儿童期或青春期早期出现，若不治疗可导致性功能障碍。医生在为这些患者提供咨询和治疗时必须考虑这些囊肿的潜在后遗症。
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