Net-like superficial lymphatic malformation: a new entity?

Vide, Júlia; Pereira, A.; Nogueira, Ana; Azevedo, Filomena

doi:10.1111/ced.13538

Cited by 3 publications

(6 citation statements)

References 4 publications

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“…1 SLM is a class of LMs involving the dermis, characterized by many dilated lymphatic channels located in the dermis, although they frequently extend deeper and lateraly. [4][5][6][7][8] In 1976, Whimster proposed that lymphangioma circumscriptum was composed of subcutaneous smooth muscular-coated lymphatic cisterns, dilated dermal lymphatics, and superficial vesicles. 9 He hypothesized superficial ectopic lymphatics become dilated from the continued rise and fall of pressure transmitted from the muscle walls of deep cisterns.…”

Section: Resultsmentioning

confidence: 99%

“…LM has been understood to be caused by somatic pathogenic variants in PIK3CA , the malformed lymphatics not communicating with the normal lymphatic system around the affected tissues 1 . SLM is a class of LMs involving the dermis, characterized by many dilated lymphatic channels located in the dermis, although they frequently extend deeper and lateraly 4–8 …”

Section: Discussionmentioning

confidence: 99%

“…SLM is an unique form of LM reclassified in recent years. It features many dilated lymphatic channels in the dermis lined by a single layer of endothelial cells 4–8 . Whimster hypothesized that the lesion results from contractions of the subcutaneous aberrant cisterns causing dermal lymphatics to dilate and protrude from the skin 9 …”

Section: Introductionmentioning

confidence: 99%

“…It features many dilated lymphatic channels in the dermis lined by a single layer of endothelial cells. [4][5][6][7][8] Whimster hypothesized that the lesion results from contractions of the subcutaneous aberrant cisterns causing dermal lymphatics to dilate and protrude from the skin. 9 There is currently no consensus regarding treatment for SLM.…”

Section: Introductionmentioning

confidence: 99%

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Curettage and sclerotherapy technique: A hybrid approach to superficial lymphatic malformation

Wang¹,

Zhou²,

Lin³

et al. 2022

Pediatric Dermatology

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Objective: To describe the curettage and sclerotherapy technique, a hybrid approach to treatment for superficial lymphatic malformations. Methods: A retrospective analysis of a lymphatic malformation data base was performed. Patients with superficial lymphatic malformation treated by curettage and sclerotherapy technique with bleomycin were included in this study. Safety and efficacy of the curettage and sclerotherapy technique with bleomycin were evaluated. Results: Between September 2019 and October 2021, 10 consecutive patients (male/female ratio: 4:6; mean age, 10.9 years; range, 3-35 years) presented with superficial lymphatic malformations that were subsequently treated by curettage and sclerotherapy technique with bleomycin. All lesions were located on the trunk and extremities. Each patient received one treatment session and a mean follow-up of 12 months. We observed minor complications. No postoperative infections occurred in this series. No patient developed skin ulceration or necrosis. Scarring and recurrence occurred in one patient. Complete regression was confirmed for all 10 patients by photographic evaluation. Conclusion:A curettage and sclerotherapy technique is proposed to treat superficial lymphatic malformation in this study. This technique seems to be safe and highly effective.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Curettage and sclerotherapy technique: A hybrid approach to superficial lymphatic malformation

Wang¹,

Zhou²,

Lin³

et al. 2022

Pediatric Dermatology

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“…In 2016 Noguera‐Morel et al 1 described a new type of superficial lymphatic malformation (LM) with distinctive characteristics. Only four cases 1,2 of this entity have been reported in the literature, and it is not included in the latest update of the International Society for the Study of Vascular Anomalies (ISSVA) classification. Herein, we report a new case of the so‐called net‐like superficial LM.…”

Section: Figurementioning

confidence: 99%

Net‐like superficial lymphatic malformation

Iznardo

Baselga

Mozos

et al. 2021

Pediatric Dermatology

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Erythematous capillary-lymphatic malformations mimicking blood vascular anomalies

Hägerling,

Van Zanten,

Behncke

et al. 2023

JCI Insight

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Superficial erythematous cutaneous vascular malformations are assumed to be blood vascular in origin, but cutaneous lymphatic malformations can contain blood and appear red. Management may be different and so an accurate diagnosis is important. Cutaneous malformations were investigated through 2D histology and 3D whole-mount histology. Two lesions were clinically considered as port-wine birthmarks and another 3 lesions as erythematous telangiectasias. The aims were (i) to demonstrate that cutaneous erythematous malformations including telangiectasia can represent a lymphatic phenotype, (ii) to determine if lesions represent expanded but otherwise normal or malformed lymphatics, and (iii) to determine if the presence of erythrocytes explained the red color. Microscopy revealed all lesions as lymphatic structures. Port-wine birthmarks proved to be cystic lesions, with nonuniform lymphatic marker expression and a disconnected lymphatic network suggesting a lymphatic malformation. Erythematous telangiectasias represented expanded but nonmalformed lymphatics. Blood within lymphatics appeared to explain the color. Blood-lymphatic shunts could be detected in the erythematous telangiectasia. In conclusion, erythematous cutaneous capillary lesions may be lymphatic in origin but clinically indistinguishable from blood vascular malformations. Biopsy is advised for correct phenotyping and management. Erythrocytes are the likely explanation for color accessing lymphatics through lympho-venous shunts.

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Net-like superficial lymphatic malformation: a new entity?

Cited by 3 publications

References 4 publications

Curettage and sclerotherapy technique: A hybrid approach to superficial lymphatic malformation

Curettage and sclerotherapy technique: A hybrid approach to superficial lymphatic malformation

Net‐like superficial lymphatic malformation

Erythematous capillary-lymphatic malformations mimicking blood vascular anomalies

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