[Vulvar lymphangioma circumscriptum: diagnosis and treatment].

Autor:	van der Wolk SL; HagaZiekenhuis, afd. Gynaecologie, Den Haag.; Contact: Sabine L. van der Wolk (s.l.van_der_wolk@lumc.nl)., Voogdt KGJA; HagaZiekenhuis, afd. Gynaecologie, Den Haag., van Tuyll van Serooskerken AM; HagaZiekenhuis, afd. Dermatologie, Den Haag., van Haaften-de Jong ALD
Jazyk:	Dutch; Flemish
Zdroj:	Nederlands tijdschrift voor geneeskunde [Ned Tijdschr Geneeskd] 2022 Oct 24; Vol. 166. Date of Electronic Publication: 2022 Oct 24.
Abstrakt:	Background: The vulvar form of lymphangioma circumscriptumis a rare condition. It is part of the acquired lymphangiectasia and arises secondary, for example, after surgery, radiotherapy for malignancies in the pelvic region, inflammation in which vulvar lymphedema occurs or Morbus Crohn. Case Description: A 44-year-old woman presented to the gynaecology outpatient department with a vulvar abnormality that was accompanied by pain and pruritus. Her medical history consisted of premalignant cervical abnormalities and a vulvar lichen simplex chronicus. A biopsy was taken and the diagnosis lymphangioma circumscriptum was made. Due to the growth and the complaints, the decision was made to remove the lesion in the operating room. Conclusion: Lymphangioma circumscriptum is a rare condition that is often misdiagnosed. This case may describe the development of lymphangioma circumscriptum from a lichen simplex chronicus, which has not been described before. It also demonstrates that surgical treatment appears to be a good treatment with few complications in the postoperative course.
Databáze:	MEDLINE
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