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Acquired vulvar lymphangiectasis in a child

R Rabinowitz, B M Churchill, M E Alexis

    Urology
    |November 1, 1977
    PubMed
    Summary

    A child developed acquired vulvar lymphangiectasis after cancer treatment. Surgical excision and reconstruction successfully treated this rare condition without lymphedema.

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    Area of Science:

    • Gynecology
    • Pediatric Oncology
    • Vascular Malformations

    Background:

    • Rhabdomyosarcoma of the bladder is a rare pediatric malignancy.
    • Pelvic exenteration, lymphadenectomy, and radiation are standard treatments for advanced bladder rhabdomyosarcoma.
    • Acquired vulvar lymphangiectasis is an uncommon condition, typically associated with lymphatic obstruction.

    Observation:

    • A pediatric patient presented with extensive acquired vulvar lymphangiectasis.
    • The condition developed following treatment for rhabdomyosarcoma of the bladder.
    • Notably, the patient did not exhibit lymphedema.

    Findings:

    • The acquired vulvar lymphangiectasis mimicked the pathophysiology of congenital lymphangioma.
    • The etiology was linked to prior pelvic exenteration, lymphadenectomy, and radiation therapy.
    • Successful treatment was achieved through surgical excision and vulvar reconstruction.

    Implications:

    • This case highlights a rare complication of cancer treatment in children.
    • It underscores the importance of recognizing acquired lymphatic abnormalities.
    • Surgical intervention can effectively manage extensive acquired vulvar lymphangiectasis.

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