Late-Onset Superficial Lymphatic Malformation: Report of a Case and Review of the Literature

Koçer, Uğur; Atakan, Nilgün; Aksoy, Hasan Mete; Tiftikçioğlu, Yiğit Özer; Aksoy, Berna; Astarci, Müzeyyen

doi:10.1046/j.1524-4725.2003.29064.x

Cited by 3 publications

(10 citation statements)

References 12 publications

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“…Our results demonstrate that benign lymphangioendothelioma lacks expression of WT‐1, supporting it being a lymphatic vascular malformation. It must be noted that WT‐1 has also been negative in all tested lesions with lymphatic vascular differentiation, and the only exception was the case reported by Revelles et al Lymphatic malformations are usually congenital, but tardive onset has also been described . Recently, hobnail angioma, a vascular proliferation that usually develop in adults, was also proven to be a lymphatic malformation .…”

Section: Discussionmentioning

confidence: 96%

Benign lymphangioendothelioma: a clinical, histopathologic and immunohistochemical analysis of four cases

et al. 2013

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Section: Discussionmentioning

confidence: 96%

Benign lymphangioendothelioma: a clinical, histopathologic and immunohistochemical analysis of four cases

et al. 2013

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“…Lymphangioma circumscriptum is the most common congenital lymphatic malformation, although its true incidence is unknown . Approximately 90% of lymphangioma circumscriptum cases manifest by age 2 years, and the remainder typically appear before age 30 years . Lymphangioma circumscriptum lesions function as a “closed system,” entirely separate from the normal lymphatic system .…”

Section: Discussionmentioning

confidence: 99%

“…Approximately 90% of lymphangioma circumscriptum cases manifest by age 2 years, and the remainder typically appear before age 30 years . Lymphangioma circumscriptum lesions function as a “closed system,” entirely separate from the normal lymphatic system . During lymphatic development, abnormal cisterns with a muscular coating form in the subcutaneous tissue .…”

Section: Discussionmentioning

confidence: 99%

A 22-Year-Old Man With Painful Vesicles on His Flank

Haley

Tyring

2019

JAMA

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“…1 The highest incidence of lymphangioma is during infancy, and most appear by age 30, with very few cases reported in later life. 2 The condition affects males and females equally; it can be congenital or acquired, and the two are usually indistinguishable.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3]5,[8][9][10] A survey of 80 patients with cutaneous lymphangiomas showed that 75% of the lesions are cured with one surgical excision, and 13% with a second excision. 7 These cases involved lymphangioma of chest, thigh, buttock, neck and axilla; scrotal lymphangiomas were rare.…”

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confidence: 99%

Scrotal lymphangiomatosis: a case report

Wong

Melnyk

Tang

et al. 2013

CUAJ

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Lymphangiomas are benign tumours of the lymphatic system, and there are several reported cases of scrotal lymphangioma in the literature to date. We report a rare case of multilocular cutaneous lymphangiomatosis treated with surgical excision (total scrotectomy and reconstruction using split-thickness skin grafts with vacuum-assisted closure dressing). Case reportA 39-year-old healthy male presented with a 20-year history of recurrent, complicated scrotal lymphangiomatosis. The lesions had previously been treated with local excision and cauterization, laser ablation and cryotherapy, but the lymphangiomas recurred quicker and denser in number following each treatment. The patient was referred to our urology clinic in 2007 with complaints of perineal pain. Physical examination demonstrated the scrotum itself was nodular and thickened with innumerable cutaneous lymphangiomas, with complete sparing of the penile skin. Following discussion with the patient, a continued conservative approach was initially exercised with antibiotic treatment and suppression of chronic scrotal cellulitis without surgical consideration of the lesions themselves. Despite this, the patient continued to suffer from recurrent infections of spontaneously ruptured lesions. Given the ineffectiveness of conservative therapy, the notable confinement of lymphangiomas to the scrotal skin ( Fig. 1), and the ongoing psychological impact of the condition on the patient, a decision was made to escalate to surgical management consisting of total scrotectomy with reconstruction.The patient was brought to the operating room, and following induction of general anesthesia, a "W" incision was made along the baseline such that the entire scrotum was incorporated while leaving skin 1 cm above the anus intact, thus forming a shape resembling the letter "W" (Fig. 2). The scrotum, including the epithelium, dermis, and superficial subcutaneous tissues, were dissected off using a combination of #15 blade and the Metzenbaum scissors (Fig. 2). While the scrotectomy was being performed, the split-thickness graft was harvested from a shaved area on the right donor thigh. The Zimmer dermatome (Zimmer Inc., United Kingdom) set to 12/1000 of an inch was used to harvest the skin graft, which was then meshed in a 1.5:1 fashion, and used to cover the area of defect. The borders of the graft were stapled in place, and then further quilted into place using 4-0 Vicryl sutures (Fig. 3). A vacuum-assisted closure (VAC) sponge was conformed to the skin-grafted area and reinforced with additional OpSite (Smith & Nephew Healthcare, United Kingdom) dressings.At one-month follow-up, there were a few small areas of delayed healing, overall good take of the graft, and no recurrence of scrotal lymphangiomatosis (Fig. 4). The shaft of the penis appeared to remain well-vascularized. The patient reported little pain, and was able to have normal erections with no chordee or deviation. The six-month follow-up showed almost complete healing, and no recurrence was observed (Fig. 5). Dis...

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Late-Onset Superficial Lymphatic Malformation: Report of a Case and Review of the Literature

Cited by 3 publications

References 12 publications

Benign lymphangioendothelioma: a clinical, histopathologic and immunohistochemical analysis of four cases

Benign lymphangioendothelioma: a clinical, histopathologic and immunohistochemical analysis of four cases

A 22-Year-Old Man With Painful Vesicles on His Flank

Scrotal lymphangiomatosis: a case report

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