Major labiaectomy as surgical management of vulvar lymphangioma circumscriptum: three cases and a review of the literature

Abstract

In particular, major labiaectomy seems to be more successful than methods such as lymphovenous anastomoses and lymph angioplasties. A single operation may prove beneficial; also, this approach has the potential to allow patients to rehabilitate to normal life and activity.

Vulvar lymphangioma circumscriptum presenting periodic symptoms

“…Lymphangiomas of the vulva are rare. Thirteen cases of the congenital and 24 cases of the acquired form have been reported in the literature 2. We report a case of acquired LC localised only in the right labium majus and characterised by periodic symptoms for 8 years; however, 3 months after the right major labiectomy, the same symptoms developed in the left labium majus and the right labium minus.…”

A Rare Case of Pregnancy Induced Lymphangioma of Vulva in A Primigravida with Singleton Pregnancy

“…Differential diagnoses of ALV include primary LC of vulva, genital warts, herpes zoster, molluscum contagiosum, syringoma, leiomyoma, cellular angiofibroma, haemangioendothelioma, angiomyofibroblastoma, and aggressive angiomyxoma. [11][12][13] Histopathologic confirmation of the clinical diagnosis may be done to avoid misdiagnosis and wrong treatment.…”

“…Treatment modalities for LC of vulva which are reported in the literature include electrocoagulation, abrasive therapy, cryotherapy, CO2 and Nd:Yag lasers and surgical excision such as labiectomy, vulvectomy , mass excision, and wide local excision. [12] Recurrence is very common with non-surgical modalities done for deep LC, hence surgical excision is the preferred mode of treatment for deeper and larger LC. [7][8][9]12] In special situations such as for pregnancy induced LC of vulva, wait and watch principle may also be followed to see spontaneous resolution of the lesions which has been seen in previous such case.…”

“…[12] Recurrence is very common with non-surgical modalities done for deep LC, hence surgical excision is the preferred mode of treatment for deeper and larger LC. [7][8][9]12] In special situations such as for pregnancy induced LC of vulva, wait and watch principle may also be followed to see spontaneous resolution of the lesions which has been seen in previous such case. [13] …”

Vulvoplasty in New South Wales, 2001–2013: a population‐based record linkage study

“…There is a number of other medical conditions warranting vulvoplasty or labioplasty surgery including congenital malformations (54,58,64,66) ; however, there is very little literature on these indications.…”