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Recalcitrant breast lymphangioma circumscriptum treated by UltraPulse carbon dioxide laser
1University of California, Davis Laser Center, Sacramento 95817, USA.
Summary
A high-energy, short-pulse carbon dioxide (CO2) laser effectively treated recurrent lymphangioma circumscriptum. This innovative approach offers a promising solution for this challenging vascular disorder, though recurrence remains a possibility.
Area of Science:
- Dermatology
- Laser Surgery
- Vascular Anomalies
Background:
- Lymphangioma circumscriptum is a rare skin condition characterized by superficial and deep lymphatic cisterns.
- It presents as vascular blebs that are challenging to treat and prone to recurrence, causing significant patient morbidity.
Observation:
- A case of recurrent lymphangioma circumscriptum, previously treated unsuccessfully with surgery, was managed.
- The treatment utilized a newer, high-energy, short-pulse carbon dioxide (CO2) laser system.
Findings:
- The high-energy, short-pulse CO2 laser demonstrated efficacy in vaporizing superficial lymphatic vessels.
- This action potentially sealed communicating channels to deeper lymphatic cisterns, leading to favorable functional and cosmetic outcomes.
Implications:
- This laser modality offers a potentially effective treatment for lymphangioma circumscriptum, including recurrent cases.
- While promising, the inherent nature of the lesion suggests that recurrence is possible regardless of the treatment method employed.