Acquired vulvar lymphangioma circumscriptum after cervical cancer treatment: case report
Loading...
Authors
Valente, Kari
Montgomery, Kathleen
Schultenover, Stephen
Desouki, Mohamed Mokhtar
Issue Date
2016-04-01
Type
Article
Language
en_US
Keywords
LC , Lymphangioma Circumscriptum
Alternative Title
Abstract
Vulvar lymphangioma circumscriptum (LC) is a rare entity which may present as a painful, warty lesion. In contrast to the congenital form, which occurs in children, the acquired form arises in older adults and may be associated with infection, Crohn's disease, or prior pelvic/regional surgery. We present a case of acquired LC of the vulva in a 55-year-old woman who presented with a 3–4 year history of vulvar pain following chemotherapy, radiation, and brachytherapy for cervical cancer. Vulvar shave biopsies followed by excision revealed a thickened dermis with epidermal hyperkeratosis, parakeratosis, elongated rete ridges and dilated lymphatic channels containing eosinophilic material and scattered thrombi.
The differential diagnosis for this unusual lesion includes more common conditions such as condyloma acuminatum, fungating squamous cell carcinoma and molluscum contagiosum. It is important to recognize the clinical presentation as well as the distinct histological appearance of this rare benign entity.
Description
Citation
Valente, K., Montgomery, K., Schultenover, S., & Desouki, M. M. (2016). Acquired vulvar lymphangioma circumscriptum after cervical cancer treatment: Case report. Gynecologic oncology reports, 16, 31–33. https://doi.org/10.1016/j.gore.2016.03.006
Publisher
Gynecologic Oncology Reports