Benign mesothelial nodules reflux within acquired cutaneous lymphangiectasia associated with huge ovarian clear cell carcinoma

Localized acquired lymphangiectasias after breast surgery: Enhanced non‐invasive diagnosis using dermoscopy and reflectance confocal microscopy

“…Acquired lymphangiectasias have been reported in the literature with an increased frequency in the past years due to increase in surgery for certain malignancies involving breast, male and female genitalia, and/or other internal organs …”

“…Acquired lymphangiectasias have been reported in the literature with an increased frequency in the past years due to increase in surgery for certain malignancies involving breast, male and female genitalia, and/or other internal organs. 4,[6][7][8] A correct diagnosis of ALs after mastectomy is mandatory to rule out the presence of cutaneous metastases from previous breast cancer and/or the Stewart-Treves syndrome, a rare cutaneous lymphangiosarcoma that may complicate long-standing chronic lymphedema. 20 In addition, other more common infectious and/or neoplastic lesions should be excluded in order to avoid unnecessary invasive procedures, including cryosurgery, electrocauterization, or excision.…”

“…They clinically appear as clusters of asymptomatic, translucent, and flesh‐colored vesicular lesions; some of them may turn purple due to the presence of red blood cells . Lymphangioma circumscriptum is the most common congenital form whereas acquired lesions, known as lymphangiectasias, resulting from damage and/or obstruction of previously normal lymphatics, usually develop secondary to surgery, radiotherapy, and/or infections . In this case, clinical presentation may range from few, isolated vesicles measuring 2‐10 mm in diameter on normal‐appearing skin, to several, clustered, sometimes verrucous, lesions associated with diffuse lymphedema .…”

“…1 Lymphangioma circumscriptum is the most common congenital form whereas acquired lesions, known as lymphangiectasias, resulting from damage and/or obstruction of previously normal lymphatics, usually develop secondary to surgery, radiotherapy, and/or infections. [2][3][4][5][6][7][8] In this case, clinical presentation may range from few, isolated vesicles measuring 2-10 mm in diameter on normal-appearing skin, to several, clustered, sometimes verrucous, lesions associated with diffuse lymphedema. 4 In 1956, acquired lymphangiectasias (ALs) were first described as a complication of radical mastectomy 9 and several reports have been published so far.…”