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Lymphangioma Circumscriptum of the Vulva: A Case Report
1Obstetrics and Gynaecology, Princess Royal University Hospital, Orpington, GBR.
Insights
Vulvar lymphangioma circumscriptum, a rare benign lymphatic malformation, can mimic other conditions. Surgical excision effectively relieved symptoms in a patient with a chronic vulvar lesion, with no recurrence at 12 months.
Area of Science:
- Dermatology
- Gynecology
- Pathology
Background:
- Vulvar lymphangioma circumscriptum is a rare benign lymphatic malformation.
- It can be misdiagnosed as infectious or neoplastic lesions, delaying treatment.
- Chronic vulvar lesions can significantly impair a patient's quality of life.
Abstract:
Vulvar lymphangioma circumscriptum is a rare, benign lymphatic malformation that can mimic infectious or neoplastic lesions, often leading to delayed diagnoses. This report presents the case of a 48-year-old woman who presented with a 10-year history of wart-like lesions on the vulva, causing soreness, pruritus, and an impaired quality of life. Examination revealed multiple fluid-filled papules and swelling of the left labia majora. She underwent surgical excision, and histopathology confirmed lymphangioma circumscriptum without evidence of malignancy. At 12-month follow-up, she remained asymptomatic with no recurrence. This case highlights the importance of considering lymphangioma circumscriptum in chronic vulvar lesions and demonstrates that surgical excision can provide effective symptom relief.
