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Surgical management of vulvar lymphangioma circumscriptum: two case reports.
Tokai J Exp Clin Med. 2011 Apr 20; 36(1):17-20.TJ

Abstract

OBJECTIVE

To evaluate the efficacy of major labiaectomy as a surgical management of vulvar lymphangioma circumscriptum, we report two cases of this rare clinical entity.

CASE REPORTS

Two female patients, aged 56 and 68 years, presented with persistent edema of the lower limbs, papule-like condyloma of the labia majora, and lymph oozing from these papules of the vulva, which had developed 24 and 10 years, respectively, after radical hysterectomy with adjuvant pelvic radiation therapy for cervical cancer. After major labiaectomy was performed, symptoms in the first case, of extensive resected skin margin, improved clearly, in the second case, vulvar lymphangioma circumscriptum was more severe than in the first case, and a small amount of lymph oozing occurred from residual papules of the labia majora. In both cases, histology revealed lymphangioma circumscriptum of the vulva.

CONCLUSION

Major labiaectomy is an effective therapy for vulvar lymphangioma circumscriptum. Particularly, in the case which was extensive and deep resected skin margin, symptoms such as papules of the labia majora and lymph oozing from these papules of the vulva associated with lymphangioma seemed to be clearly improved.

Authors+Show Affiliations

Department of Obstetrics and Gynecology, Tokai University School of Medicine, 143 Shimokasuya, Isehara, Kanagawa 259-1193, Japan. ikedam@tokai-u.jpNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

21547888

Citation

Ikeda, Masae, et al. "Surgical Management of Vulvar Lymphangioma Circumscriptum: Two Case Reports." The Tokai Journal of Experimental and Clinical Medicine, vol. 36, no. 1, 2011, pp. 17-20.
Ikeda M, Muramatsu T, Shida M, et al. Surgical management of vulvar lymphangioma circumscriptum: two case reports. Tokai J Exp Clin Med. 2011;36(1):17-20.
Ikeda, M., Muramatsu, T., Shida, M., Hirasawa, T., Ishimoto, H., Izumi, S., & Mikami, M. (2011). Surgical management of vulvar lymphangioma circumscriptum: two case reports. The Tokai Journal of Experimental and Clinical Medicine, 36(1), 17-20.
Ikeda M, et al. Surgical Management of Vulvar Lymphangioma Circumscriptum: Two Case Reports. Tokai J Exp Clin Med. 2011 Apr 20;36(1):17-20. PubMed PMID: 21547888.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Surgical management of vulvar lymphangioma circumscriptum: two case reports. AU - Ikeda,Masae, AU - Muramatsu,Toshinari, AU - Shida,Masako, AU - Hirasawa,Takeshi, AU - Ishimoto,Hitoshi, AU - Izumi,Shu-ichiro, AU - Mikami,Mikio, Y1 - 2011/04/20/ PY - 2011/01/25/received PY - 2011/03/01/accepted PY - 2011/5/7/entrez PY - 2011/5/7/pubmed PY - 2011/8/25/medline SP - 17 EP - 20 JF - The Tokai journal of experimental and clinical medicine JO - Tokai J. Exp. Clin. Med. VL - 36 IS - 1 N2 - OBJECTIVE: To evaluate the efficacy of major labiaectomy as a surgical management of vulvar lymphangioma circumscriptum, we report two cases of this rare clinical entity. CASE REPORTS: Two female patients, aged 56 and 68 years, presented with persistent edema of the lower limbs, papule-like condyloma of the labia majora, and lymph oozing from these papules of the vulva, which had developed 24 and 10 years, respectively, after radical hysterectomy with adjuvant pelvic radiation therapy for cervical cancer. After major labiaectomy was performed, symptoms in the first case, of extensive resected skin margin, improved clearly, in the second case, vulvar lymphangioma circumscriptum was more severe than in the first case, and a small amount of lymph oozing occurred from residual papules of the labia majora. In both cases, histology revealed lymphangioma circumscriptum of the vulva. CONCLUSION: Major labiaectomy is an effective therapy for vulvar lymphangioma circumscriptum. Particularly, in the case which was extensive and deep resected skin margin, symptoms such as papules of the labia majora and lymph oozing from these papules of the vulva associated with lymphangioma seemed to be clearly improved. SN - 2185-2243 UR - https://www.unboundmedicine.com/medline/citation/21547888/Surgical_management_of_vulvar_lymphangioma_circumscriptum:_two_case_reports_ L2 - http://mj-med-u-tokai.com/pdf/360105.pdf DB - PRIME DP - Unbound Medicine ER -