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Vascular Hamartoma: An Unusual Cause of Clitoromegaly in an 18-Year-Old Patient

Singh, Aprajita MD1; Chitragar, Sanjeev S. MD2; Dadhwal, Vatsla MD1; Jindal, Vijay Laxmi MD1; Sharma, Aparna K. MD1; Suri, Vaishali MD2; Mittal, Suneeta MD1

Journal of Lower Genital Tract Disease: July 2012 - Volume 16 - Issue 3 - p 325–327
doi: 10.1097/LGT.0b013e3182422c54
Case Reports

Objective: Clitoromegaly encountered in clinical practice is more commonly due to endocrinopathies either congenital or acquired. However, acquired clitoromegaly due to a nonhormonal cause is quite rare. The authors report a case of nonhormonal-acquired clitoromegaly in a woman.

Materials and Methods: This is a case report of an 18-year-old patient with slowly increasing swelling in the vulval area for the past 6 months. Clinical examination revealed an enlarged, soft, nontender clitoris (4 × 2.5 cm), with a lobulated surface.

Results: Frozen section from clitoral mass showed a benign tumor. Surgical excision of the mass was carried out, preserving the glans. Histopathologic examination of the excised mass showed congested blood vessels and fibromuscular tissue with free nerve endings suggestive of vascular hamartoma of clitoris.

Conclusions: The correct diagnosis of clitoromegaly is essential so that suitable therapy is instituted. Thus, management of such cases needs a good clinical judgment and a judicious individualization of management protocols.

Vascular hamartoma is a rare cause of acquired clitoromegaly in an 18-year-old patient.

Departments of 1Obstetrics and Gynaecology, and 2Pathology, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India

Correspondence to: Vatsla Dadhwal, MD, Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India 110029. E-mail: vatslad@hotmail.com

The authors declare that they have no conflict of interest.

©2012The American Society for Colposcopy and Cervical Pathology