Acquired vulvar lymphangioma: a case series with emphasis on expanding clinical contexts.
Identifieur interne : 006496 ( Ncbi/Merge ); précédent : 006495; suivant : 006497Acquired 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-ReySource :
- International journal of gynecological pathology : official journal of the International Society of Gynecological Pathologists [ 1538-7151 ] ; 2014.
Descripteurs français
- KwdFr :
- MESH :
- anatomopathologie : Lymphangiome, Tumeurs de la vulve.
- Adulte, Adulte d'âge moyen, Condylomes acuminés, Femelle, Humains, Maladie de Crohn, Récidive tumorale locale, Sujet âgé, Études de suivi.
English descriptors
- KwdEn :
- MESH :
- complications : Condylomata Acuminata, Crohn Disease.
- pathology : Lymphangioma, Vulvar Neoplasms.
- Adult, Aged, Female, Follow-Up Studies, Humans, Middle Aged, Neoplasm Recurrence, Local.
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:24681732Le document en format XML
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<front><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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<Abstract><AbstractText>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.</AbstractText>
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