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Late Complications of Childhood Female Genital Mutilation
Authors:Aseel Hamoudi  Michael Shier
Affiliation:1. Division of Global Public Health, Department of Medicine, University of California, San Diego School of Medicine, San Diego, USA;2. Center on Global Justice, University of California, San Diego, USA;3. Boston University School of Medicine/Boston Medical Center, Department of Medicine, Section of General Internal Medicine, Clinical Addiction Research and Education, Boston, USA;4. Joint Doctoral Program in Public Health (Global Health), San Diego State University/University of California, San Diego, USA;1. Department of Gynecological, Obstetric and Urological Sciences, Sant’Andrea Hospital, Sapienza University of Rome, Rome, Italy;2. Section of Gynecology, Academic Department of Biomedicine and Prevention and Clinical Department of Surgery, Tor Vergata University Hospital, Rome, Italy;3. Department of Obstetrics and Gynaecology, San Carlo Hospital-IDI IRCCS, Rome, Italy;4. Department of Obstetrics and Gynaecology, Cristo Re Hospital, Rome, Italy;5. National Cancer Institute, Department of Gynaecologic Oncology, Aviano, Italy;6. Department of Gynaecology and Obstetrics, Catholic University, Rome, Italy;1. Medical Genetics, University of Siena, Siena, Italy;2. Genetica Medica, Azienda Ospedaliera Universitaria Senese, Siena, Italy;3. Section of Pediatric Surgery, Department of Pediatrics, Obstetrics and Reproductive Medicine, University of Siena, Italy;4. Laboratory of Medical Genetics, Department of Laboratory Medicine, Azienda Ospedaliero Universitaria Pisana, Pisa, Italy;5. Adolescent Medicine, Department of Obstetrics, Gynecology and Pediatrics, Santa Chiara University Hospital, Pisa, Italy;1. Infectious Diseases and Tropical Medicine Research Center, Zahedan University of Medical Sciences, Zahedan, Iran;2. Department of Parasitology and Mycology, Faculty of Medicine, Zahedan University of Medical Sciences, Zahedan, Iran;3. Al-Zahra Eye Center, Zahedan University of Medical Sciences, Zahedan, Iran;4. Department of Parasitology, Faculty of Veterinary Medicine, University of Tehran, Tehran, Iran;5. Department of Parasitology and Mycology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran;6. Students Research Committee, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Abstract:BackgroundCanada’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.CaseA 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.ConclusionAn 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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