Rare Location of Epidermal Inclusion Cyst in a Child - A Case Report

Epidermal inclusion cysts are benign lesions rarely found in the clitoris. This case report describes a 7-year-old girl presenting with a 2-year history of a painless clitoral swelling. Examination revealed a 1x2 cm firm, well-circumscribed cyst on the clitoral head. Fine needle aspiration (FNA) and magnetic resonance imaging (MRI) suggested an epidermal inclusion cyst. The cyst was excised surgically with preservation of clitoral anatomy. Histopathological examination confirmed the diagnosis. This report highlights the rarity of clitoral epidermal inclusion cysts and emphasizes the importance of considering this diagnosis in cases of clitoromegaly. A detailed history and examination can often differentiate this condition from other causes, avoiding unnecessary investigations. Surgical excision with clitoral preservation is the mainstay of treatment, aiming for optimal functional and cosmetic outcomes. A review of five published case reports of clitoral epidermal inclusion cysts is also included for comparison.