BACKGROUND:

Inclusion epidermoid cysts are abnormal proliferations of epidermal cells that, when located in or around the clitoris, may cause or simulate clitoromegaly. They usually present post-trauma as in female genital mutilation.

OBJECTIVE:

To report the unpublished case of a patient with a supraclithoid vulvar mass, simulating clitoromegaly, of seven years of evolution and progressive growth, without traumatic antecedents.

CLINICAL CASE:

24-year-old female, nulligest, without significant history, with apparent clitoromegaly and progressive increase from the age of 17, MRI reported simple-appearing cystic image located in subcutaneous plane of external genitalia, with possibility of epidermoid cyst. Uncomplicated surgical resection was performed with histopathological diagnosis of inclusion epidermoid cyst.

CONCLUSIONS:

The approach of this epidermoid cyst presentation was a surgical challenge for the preservation of the clitoral sensitivity and the aesthetic result.

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