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首页> 外文期刊>The journal of sexual medicine >Clitoral Neuroma after Female Genital Mutilation/Cutting: A Rare but Possible Event
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Clitoral Neuroma after Female Genital Mutilation/Cutting: A Rare but Possible Event

机译：女性生殖器切割/切割后的阴蒂神经瘤：罕见但可能发生的事件

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Introduction. Female genital mutilation/cutting (FGM/C), in particular, type III, also called infibulation, can cause various long-term complications. However, posttraumatic neuroma of the clitoris is extremely rare; only one case was previously reported in the literature. Aim. The aim of this study was to describe the case of a patient presenting a clitoral neuroma post-FGM/C in detail and her successful multidisciplinary treatment. Methods. We report the case of a 24-year-old woman originating from Somalia presenting a type III a-b FGM/C who attended our outpatient clinic at the Geneva University Hospitals complaining of primary dysmenorrhea and a post-mutilation painful clitoral mass. The mass was clinically diagnosed as a cyst and surgically removed. Histopathological analysis revealed that it was a posttraumatic neuroma and a foreign body granuloma around the ancient surgical thread. Our patient was also offered a multidisciplinary counseling by a specialized gynecologist on FGM/C, a sexologist, and a reproductive and sexual health counselor. Results. One month after surgical treatment, the vulvar pain was over. Conclusions. This is the second case of clitoral neuroma after FGM/C reported and the first with complete clinical, as well as histopathological documentation and multidisciplinary care. Considering the high frequency of clitoral cysts in case of infibulation, clitoral neuroma should be considered in the differential diagnosis. In this case, if symptomatic, the treatment should be surgery, clinical follow-up, and counseling. If necessary, appropriate sexual therapy should be offered too.
机译：介绍。女性外阴残割/切割（FGM / C），特别是III型，也称为阴部抽动，可引起各种长期并发症。然而，创伤后阴蒂神经瘤极为罕见。文献中仅报道过一例。目标。这项研究的目的是详细描述FGM / C后出现阴蒂神经瘤的患者及其成功的多学科治疗的情况。方法。我们报告了一名来自索马里的24岁女性，她表现出III a-b型FGM / C，她在日内瓦大学医院的门诊就诊，抱怨原发性痛经和肢体切除后痛苦的阴蒂肿块。该肿块在临床上被诊断为囊肿并通过手术切除。组织病理学分析显示，这是创伤后神经瘤和古老手术线周围的异物肉芽肿。还由FGM / C的专业妇科医生，性学家以及生殖和性健康顾问为我们的患者提供了多学科咨询。结果。手术治疗一个月后，外阴痛结束了。结论。这是继FGM / C报告后的第二例阴蒂神经瘤，第一例具有完整的临床，组织病理学记录和多学科护理。考虑到阴蒂发生时阴蒂囊肿的发生率高，鉴别诊断应考虑阴蒂神经瘤。在这种情况下，如果有症状，则应通过手术，临床随访和咨询进行治疗。如有必要，也应提供适当的性治疗。

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