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Cutaneous lymphatic malformation with secondary fat hypertrophy
A Tavakkolizadeh1, K Q Wolfe, L Kangesu
1St Andrew's Centre for Plastic Surgery and Burns, Broomfield Hospital, Chelmsford, UK.
British Journal of Plastic Surgery
|May 18, 2001
Summary
Late-onset localized fat hypertrophy, a rare complication of cutaneous lymphatic malformations, can occur without deep lymphatic connections. This case highlights a unique presentation and successful debulking via liposuction.
Area of Science:
- Vascular anomalies
- Medical case reports
Background:
- Lymphatic malformations (LMs) are congenital vascular anomalies.
- Deep LMs can cause soft tissue and bone hypertrophy.
- Late-onset localized fat hypertrophy without deep connections is undescribed.
Observation:
- A patient presented with a cutaneous LM of the thigh and buttock.
- The lesion, present since childhood, rapidly enlarged during adolescence.
- MRI confirmed no deep lymphatic connections or lipoma.
Findings:
- The case describes a rare instance of secondary fat hypertrophy in a cutaneous LM.
- This hypertrophy occurred without evidence of deep lymphatic connections.
- Liposuction effectively reduced the hypertrophied fat tissue.
Implications:
- This case expands the understanding of LM presentations.
- It suggests localized fat hypertrophy can be a feature of LMs independent of deep connections.
- Liposuction may be a viable treatment for such localized hypertrophy.