J Obstet Gynaecol Can. 2010 Jun;32(6):587-9.
Late complications of childhood female genital mutilation.
Hamoudi A, Shier M.
Department of Obstetrics and Gynaecology, University of Toronto, Toronto, ON.
BACKGROUND: Canada’s immigrants are increasingly from non-English-speaking countries with different medical issues. Female genital mutilation (FGM) is a procedure performed for non-medical reasons that is not traditionally encountered in Canada and that has serious health implications for women.
CASE: A 36-year-old woman, who underwent FGM at the age of four, presented to our colposcopy unit with increasing swelling of the vulva. Examination revealed a large cystic mass in the midline of the vulva, and MRI identified two well-defined cystic lesions. The mass was excised, and histologic examination confirmed an epidermal inclusion cyst.
CONCLUSION: An epidermal inclusion cyst can develop as a long-term consequence of
FGM. Although it grows slowly and usually without symptoms, it may require excision because of inflammation, secondary infection, or, in rare cases, malignancy developing within the cyst.
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