Secondary lymphangioma of vulva: A report of two cases

Abstract

Secondary lymphangiomas or acquired lymphangiomas of vulva represent dilatation of upper dermal lymphatics following damage to previously normal deep lymphatics. They have been reported to occur following various infections, surgeries and radiotherapy which can cause damage to deep lymphatics.Treatment options in the management of secondary lymphangiomas include surgical resection, carbon dioxide laser vaporisation, sclerosing agents etc. We report two cases of secondary lymphangioma of vulva that followed radiotherapy for carcinoma of cervix. Both the patients were treated successfully by surgery.

Nevi‐like idiopathic acquired lymphangioma circumscriptum of the vulva

“…The common clinical presentation is multiple vesicles with oozing clear fluid. Verrucous/warty variations have also been reported [1–4]. It has been proposed that the verrucous appearance might be due to tissue organization, epithelial changes, and hyperkeratosis [1].…”

“…The main histopathological finding is dilated lymphatics in the papillary dermis. The lymphatic endothelial cells have been found to be CD31 and D2‐40 positive [4]. In differential diagnosis, molluscum contagiosum, genital warts [1,4], tuberculosis verrucosa cutis [1], and melanocytic lesions should be considered.…”

“…The lymphatic endothelial cells have been found to be CD31 and D2‐40 positive [4]. In differential diagnosis, molluscum contagiosum, genital warts [1,4], tuberculosis verrucosa cutis [1], and melanocytic lesions should be considered. For treatment, surgical excision, cryosurgery, electrocautery, laser ablation, or superficial radiotherapy can be used [1,3,4].…”

Acral Verrucous Microcystic Lymphangioma Circumscriptum of the Toes Accompanying Local Hypertrichosis

“…It is characterized by clustered (localized) or diffused (classic), translucent vesicles 1 to 5 mm in diameter and filled with clear lymphatic fluid (3). Congenital or primary forms represent the malformation of deep dermal and subcutaneous lymphatics with a secondary dilatation of superficial lymphatics whereas acquired forms (or lymphangiectasia) represent dilatation of superficial lymphatics, resulting from the obstruction of previously normal deep lymphatics (5). The most common form is the vesicular form (1).…”

“…The most common form is the vesicular form (1). However, it may also present in the form of verrucous lesions (3,5). Presentation as a verrucous plaque limited to only toes is unusual (1).…”