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Lymphangioma Circumscriptum: Clinicopathological Spectrum of 29 Cases.
J Coll Physicians Surg Pak. 2015 Sep; 25(9):658-61.JC

Abstract

OBJECTIVE

To describe the clinicopathological spectrum of Lymphangioma Circumscriptum (LC).

STUDY DESIGN

Observational case series.

PLACE AND DURATION OF STUDY

Department of Pathology and Microbiology, AKUH, Karachi, from 2002 to 2012.

METHODOLOGY

All reported cases of LC were retrieved from medical record. Clinical and pathological features were noted. Frequency percentages were determined.

RESULTS

There were 29 cases of LC predominantly males (62%). The mean age was 27.17 ±15.5 years. The commonest sites was anal/perianal region (24%) followed by extremities (17%) and tongue, (14%). Vulval LC was seen in 3 patients. Two cases were described on scrotum. The lesions were most commonly suspected as viral warts, mole or polyp (in anal region). Vesicles with erosions and bleeding and localized growth were the usual clinical presentations. Four of the patients presented with swelling since birth. All were treated with surgical excision. Microscopic examination revealed acanthotic squamous epithelium with papillomatosis. The subepithelial region had collections of lymphatic channels composed of ectatic dilated vessels with serum and inflammatory cells in their lumina. The lymphatic channels were seen in deeper layers along with lymphocytic aggregates.

CONCLUSION

Lymphangioma circumscriptum is a malformation of abnormal lymphatic channels with feeding cisterns in subcutaneous tissue. It is a benign lesion usually occurring in anal/perianal region and confused with warts. Surgical excision is preferred mode of treatment.

Authors+Show Affiliations

Department of Pathology and Microbiology, The Aga Khan UniversityHospital, Karachi.Department of Pathology and Microbiology, The Aga Khan UniversityHospital, Karachi.Department of Pathology and Microbiology, The Aga Khan UniversityHospital, Karachi.Department of Pathology and Microbiology, The Aga Khan UniversityHospital, Karachi.Department of Pathology and Microbiology, The Aga Khan UniversityHospital, Karachi.Department of Pathology and Microbiology, The Aga Khan UniversityHospital, Karachi.Department of Pathology and Microbiology, The Aga Khan UniversityHospital, Karachi.Department of Pathology and Microbiology, The Aga Khan UniversityHospital, Karachi.

Pub Type(s)

Case Reports
Journal Article
Observational Study

Language

eng

PubMed ID

26374361

Citation

Fatima, Saira, et al. "Lymphangioma Circumscriptum: Clinicopathological Spectrum of 29 Cases." Journal of the College of Physicians and Surgeons--Pakistan : JCPSP, vol. 25, no. 9, 2015, pp. 658-61.
Fatima S, Uddin N, Idrees R, et al. Lymphangioma Circumscriptum: Clinicopathological Spectrum of 29 Cases. J Coll Physicians Surg Pak. 2015;25(9):658-61.
Fatima, S., Uddin, N., Idrees, R., Minhas, K., Ahmad, Z., Ahmad, R., Kayani, N., & Arif, M. (2015). Lymphangioma Circumscriptum: Clinicopathological Spectrum of 29 Cases. Journal of the College of Physicians and Surgeons--Pakistan : JCPSP, 25(9), 658-61. https://doi.org/09.2015/JCPSP.658661
Fatima S, et al. Lymphangioma Circumscriptum: Clinicopathological Spectrum of 29 Cases. J Coll Physicians Surg Pak. 2015;25(9):658-61. PubMed PMID: 26374361.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Lymphangioma Circumscriptum: Clinicopathological Spectrum of 29 Cases. AU - Fatima,Saira, AU - Uddin,Nasir, AU - Idrees,Romana, AU - Minhas,Khurram, AU - Ahmad,Zubair, AU - Ahmad,Rashida, AU - Kayani,Naila, AU - Arif,Muhammad, PY - 2012/12/24/received PY - 2015/08/07/accepted PY - 2015/9/17/entrez PY - 2015/9/17/pubmed PY - 2016/12/16/medline SP - 658 EP - 61 JF - Journal of the College of Physicians and Surgeons--Pakistan : JCPSP JO - J Coll Physicians Surg Pak VL - 25 IS - 9 N2 - OBJECTIVE: To describe the clinicopathological spectrum of Lymphangioma Circumscriptum (LC). STUDY DESIGN: Observational case series. PLACE AND DURATION OF STUDY: Department of Pathology and Microbiology, AKUH, Karachi, from 2002 to 2012. METHODOLOGY: All reported cases of LC were retrieved from medical record. Clinical and pathological features were noted. Frequency percentages were determined. RESULTS: There were 29 cases of LC predominantly males (62%). The mean age was 27.17 ±15.5 years. The commonest sites was anal/perianal region (24%) followed by extremities (17%) and tongue, (14%). Vulval LC was seen in 3 patients. Two cases were described on scrotum. The lesions were most commonly suspected as viral warts, mole or polyp (in anal region). Vesicles with erosions and bleeding and localized growth were the usual clinical presentations. Four of the patients presented with swelling since birth. All were treated with surgical excision. Microscopic examination revealed acanthotic squamous epithelium with papillomatosis. The subepithelial region had collections of lymphatic channels composed of ectatic dilated vessels with serum and inflammatory cells in their lumina. The lymphatic channels were seen in deeper layers along with lymphocytic aggregates. CONCLUSION: Lymphangioma circumscriptum is a malformation of abnormal lymphatic channels with feeding cisterns in subcutaneous tissue. It is a benign lesion usually occurring in anal/perianal region and confused with warts. Surgical excision is preferred mode of treatment. SN - 1681-7168 UR - https://www.unboundmedicine.com/medline/citation/26374361/Lymphangioma_Circumscriptum:_Clinicopathological_Spectrum_of_29_Cases_ L2 - http://www.diseaseinfosearch.org/result/4348 DB - PRIME DP - Unbound Medicine ER -