Congenital lymphangioma circumscriptum of vulva presenting as multiple giant mass lesions: a case report and literature review

The Journal of Obstetrics and Gynaecology Research
Setareh AkhavanFatemeh Nili

Abstract

A G2L2 33-year-old woman presented to our clinic with large verrucous warty masses in labia major, perinea and the end portion of her spine measuring about 15 × 7, 9 × 7 and 8 × 8 cm, which had been enlarged following puberty and pregnancy. Her right upper and left lower limbs had gross congenital lymphedema. The masses were removed by superficial partial vulvectomy with a qualified margin and repaired without skin graft. Pathology report showed lymphangioma circumscriptum. Several months of follow up revealed normal healing and no recurrence. In conclusion, congenital vulvar lymphangioma, which is a rare disorder, can be highly triggered by hormonal-stimulating situations like puberty and pregnancy. Thus, it is better to visit the affected cases in a timely manner in order to excise these lesions before massive enlargement. In our experience, a superficial partial vulvectomy without skin graft can be a sufficient procedure. Obviously, an appropriate approach during and after surgery would be very important for obtaining a desirable healing.

References

Feb 1, 1986·Journal of the American Academy of Dermatology·P L BailinR G Wheeland
May 10, 2006·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·K K RoyN Gopendru
Aug 19, 2007·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·F YildizA Ayhan
Apr 17, 2008·Archives of Gynecology and Obstetrics·Fatemeh GhaemmaghamiAzamsadat Mousavi
Jan 30, 2015·Obstetrics & Gynecology Science·Kyung-Ran YoonSung Taek Park

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Citations

Aug 1, 2019·The Journal of Obstetrics and Gynaecology Research·Anastasia VatopoulouFernando Sujeewa

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