Adan Abdullahi, Jelle Najma
From the Platinum Surgery Center; Department of Surgery, University of Nairobi, Nairobi, Kenya.
Department of Surgery, University of Nairobi, Nairobi, Kenya.
Plast Reconstr Surg Glob Open. 2025 Jul 22;13(7):e6992. doi: 10.1097/GOX.0000000000006992. eCollection 2025 Jul.
Epidermal inclusion cysts of the clitoris occur as a sequelae of female genital mutilation (FGM) due to implantation of epidermal components into the dermis. A slowly enlarging and painless mass on the genital region with associated discomfort is the most common presentation of clitoral cysts. Psychological distress, aesthetic concerns, and sexual dysfunction are among the top reasons that patients seek care for clitoral cysts. A 22-year-old Kenyan woman presented with history of a slowly enlarging and painless mass for 12 years that began 1 year after type 2 FGM. The patient complained of discomfort, low self-esteem, and psychological distress due to the appearance of her genital area. Examination revealed a midline, cystic mass measuring approximately 7 cm × 4 cm arising at the fusion of the labia majora that was nontender and mobile. Clinical diagnosis of clitoral cyst was made, and the patient was managed through surgical excision of the cyst as well as referral for psychological review and support. Despite the high prevalence (15%) of FGM in Kenya, there has not been a single reported case of clitoral cyst in the country, which could point to underreporting and the need for increased awareness.
阴蒂表皮样囊肿是女性生殖器切割（FGM）的后遗症，由于表皮成分植入真皮所致。生殖器区域出现缓慢增大且无痛的肿块并伴有不适是阴蒂囊肿最常见的表现。心理困扰、美观问题和性功能障碍是患者因阴蒂囊肿寻求治疗的主要原因。一名22岁的肯尼亚女性，有一个缓慢增大且无痛的肿块，病史长达12年，该肿块在2型女性生殖器切割术后1年出现。患者因生殖器区域外观而抱怨不适、自卑和心理困扰。检查发现一个中线囊性肿块，大小约为7厘米×4厘米，位于大阴唇融合处，无压痛且可活动。做出了阴蒂囊肿的临床诊断，患者接受了囊肿手术切除，并被转介进行心理评估和获得支持。尽管肯尼亚女性生殖器切割的患病率很高（15%），但该国尚未有一例阴蒂囊肿的报告病例，这可能表明报告不足，需要提高认识。
