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A Case of Vulvar Cavernous Lymphangioma
Tamarin L McCartin1, Collin A Sitler1
1Department of Obstetrics and Gynecology, Tripler Army Medical Center, Honolulu, HI.
Hawai'I Journal of Health & Social Welfare
|December 31, 2019
Summary
Cystic lymphangioma of the vulva is a rare benign lymphatic tumor. Surgical marsupialization effectively treated bilateral vulvar masses, confirming this diagnosis.
Area of Science:
- Gynecologic Oncology
- Vascular Malformations
- Surgical Pathology
Background:
- Cystic (cavernous) lymphangioma is a rare benign tumor of lymphatic vessels.
- Only 10 cases of vulvar lymphangioma have been previously reported globally.
- Vulvar soft tissue masses require careful differential diagnosis.
Observation:
- A case of bilateral vulvar cavernous lymphangiomas presented as soft tissue masses in the labia majora of a 23-year-old woman.
- Initial management attempts including aspiration, incision, and drainage were unsuccessful.
- Surgical marsupialization of both labial masses was performed.
Findings:
- Histologic examination confirmed the diagnosis of cavernous lymphangioma.
- Surgical marsupialization resulted in complete resolution of the bilateral vulvar masses.
- This case adds to the limited worldwide literature on vulvar cavernous lymphangioma.
Implications:
- Cavernous lymphangioma should be considered in the differential diagnosis of vulvar soft tissue masses.
- It can mimic more common conditions like Bartholin's cyst.
- Effective management may involve surgical intervention such as marsupialization.
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