Lymphangioma Circumscriptum: Successfully Treated by Surgical Excision
Farhana Tahseen Taj *
Department of Dermatology, Venereology and Leprosy Jawaharlal Nehru Medical College, KLE Academy of Higher Education and Research Belgaum –590010, Karnataka, India.
B. M. Vyshak
Department of Dermatology, Jawaharlal Nehru Medical College, KLE Academy of Higher Education and Research Belgaum –590010, Karnataka, India.
*Author to whom correspondence should be addressed.
Abstract
Aim: Lymphangiomas are malformations of the lymphatic system that are located in the skin and subcutaneous tissues. We report a case of invasive lymphangioma circumscriptum successfully treated by surgery.
Presentation of a Case: A 10-year female presented with asymptomatic lesions over the left side of the abdomen since birth. Dermoscopy showed characteristic multiple yellow lacunae surrounded by septa, as well as with few lacunae showing hypopion sign. Histopathology of the lesion was suggestive of lymphangioma circumscritum.
Discussion: Depending on the size and depth of the lymph vessels, lymphangiomas are separated into two categories; the superficial group and deeper group. The superficial group contains only lymphangioma circumscriptum, whereas deeper group is comprised of caverneous lymphangioma and cystic hygroma. Of the three types lymphangioma circumscriptum is the most common. Diagnosis of lymphangioma circumscriptum was made and surgical excision of the lesions was done.
Conclusion: we report a case of invasive lymphangioma circumscriptum which is managed successfully by surgical excision.
Keywords: Lymphangioma circumscriptum, surgical treatment, hypopyn sign, dermascopy.