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Acquired vulvar lymphangioma: a case series with emphasis on expanding clinical contexts.

Identifieur interne : 006496 ( Ncbi/Merge ); précédent : 006495; suivant : 006497

Acquired vulvar lymphangioma: a case series with emphasis on expanding clinical contexts.

Auteurs : Elba Carballo Nú Ez [Espagne] ; José Manuel Suárez Pe Aranda ; Mario San Martín Alonso ; José Antonio Ortiz-Rey

Source :

RBID : pubmed:24681732

Descripteurs français

English descriptors

Abstract

Vulvar lymphangioma circumscriptum (LC) is an unusual benign condition, congenital or acquired, related to interference in the lymph drainage. Acquired cases are usually related to oncological surgical procedures. We report 6 cases of vulvar LC: 3 have been caused by surgery and radiotherapy for gynecologic cancer, whereas the other 3 have originated under benign conditions--Crohn disease, recurring episodes of cellulits, and lower limb lymphedema. In 3 of them, the initial clinical diagnosis was genital wart. Surgical exeresis was performed as the treatment of choice in 5 patients and there were 3 cases of recurrences. Diagnosis of this unusual condition is not always easy even after histopathologic examination. The possibility of vulvar LC should be taken into account as a possible diagnosis in patients with previous oncological surgery or genital warts refractory to the conventional treatment. In these cases, a biopsy of not only the epidermis but also the superficial dermis is recommendable to rule out inflammatory or tumoral processes. Knowledge on the features of this lesion can avoid unnecessary clinical and therapeutic procedures.

DOI: 10.1097/PGP.0b013e31829655cb
PubMed: 24681732

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pubmed:24681732

Le document en format XML

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<nlm:affiliation>Department of Obstetrics and Gynecology (E.C.N), Clinical and University Hospital of Ourense, Alcalde Gregorio Espino, Vigo. Pontevedra Department of Pathology (J.M.S.P), Clinical Hospital and School of Medicine, Santiago de Compostela Department of Pathology (M.S.M.A, J.A.O.-R.), Clinical and University Hospital of Vigo, Vigo, Galicia, Spain.</nlm:affiliation>
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<term>Female</term>
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<term>Humans</term>
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<div type="abstract" xml:lang="en">Vulvar lymphangioma circumscriptum (LC) is an unusual benign condition, congenital or acquired, related to interference in the lymph drainage. Acquired cases are usually related to oncological surgical procedures. We report 6 cases of vulvar LC: 3 have been caused by surgery and radiotherapy for gynecologic cancer, whereas the other 3 have originated under benign conditions--Crohn disease, recurring episodes of cellulits, and lower limb lymphedema. In 3 of them, the initial clinical diagnosis was genital wart. Surgical exeresis was performed as the treatment of choice in 5 patients and there were 3 cases of recurrences. Diagnosis of this unusual condition is not always easy even after histopathologic examination. The possibility of vulvar LC should be taken into account as a possible diagnosis in patients with previous oncological surgery or genital warts refractory to the conventional treatment. In these cases, a biopsy of not only the epidermis but also the superficial dermis is recommendable to rule out inflammatory or tumoral processes. Knowledge on the features of this lesion can avoid unnecessary clinical and therapeutic procedures.</div>
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