| Abstract |
Clitoromegaly may be congenital or acquired , the former being more common . Acquired Clitoromegaly may be due to endocrine imbalances affecting adult women , polycystic ovarian disease, hyperthecosis, tumours of ovary, clitoral cysts or drug induced. A Leiomyoma of Clitoris causing Clitoromegaly is very rare. We report a case of 60 year old post menopausal women presenting with Clitoral swelling of 4 months duration with ulceration. Investigations revealed a normal karyotying ,her hormonal levels of testosterone ,dehydroepiandrosterone sulphate,follicle stimulating hormone , lutenizing hormone, parathormone and prolactin were normal. Thyroid function tests and X-ray chest were normal. CT abdomen revealed normal adrenals and MRI brain was also normal.24 hours urinary excretion of free cortisol and ketosteroids were normal. Beta HCG levels was also normal. Biopsy taken from the edge of the ulcer was reported as liomyoma. She underwent excision and clitoroplasty with preservation of neurovascular pedicles and the histopathological examination revealed the tumor to be a Leiomyoma of Clitoris,a rare entity presenting as clitoromegaly.
KEY WORDS: Clitoromegaly,Liomyoma,Clitoris.
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