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Lymphangioma circumscriptum--a clinicopathological review
Annals of Plastic Surgery
|October 1, 1981
Summary
Thorough surgical excision down to the fascia, potentially including frozen section analysis, is crucial for treating lymphangioma circumscriptum. Partial excision may be necessary for extensive lesions to improve surgical outcomes.
Area of Science:
- Dermatology
- Surgical Oncology
Background:
- Lymphangioma circumscriptum is a rare congenital malformation of lymphatic vessels.
- Management often involves surgical intervention, but recurrence can be challenging.
Observation:
- The study presents 3 extensive cases of lymphangioma circumscriptum.
- A comprehensive literature review was conducted to support clinical experience.
Findings:
- Complete surgical excision, extending to the fascial plane, is essential for effective treatment.
- Frozen section analysis can aid in achieving complete margins during surgery.
- Partial excision of superficial or deep cystic areas may be indicated for very extensive lesions.
Implications:
- Optimizing surgical techniques can significantly improve outcomes for patients with lymphangioma circumscriptum.
- Adherence to thorough excision principles can reduce the likelihood of recurrence.