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A rare case of microcystic and macrocytic lymphangioma in 12-year-old girl

  • Wahyu Lestari ,
  • Sitti Hajar ,


Abstract

Introduction: Lymphangioma is an idiopathic digression in the lymphatic vessels morphogenesis. It is a lymphatic malformation that involves the lymphatic vessels of the superficial dermis. The lesions were observed since birth for 50% of the cases. Lymphangioma is typically rare of the lymphatic vessels disorder. This case report aims to explain lymphangioma, which is typically rare of the lymphatic vessels disorder.  

Case report: Our study reported a chief complaint in a 12-year-old girl was painless multiple small blisters on the left thigh and the left inguinal in the past 11 years. Physical examination revealed the groups of lobulated mass consist of erythematous papules, cysts, skin-colored and purplish papules, purplish macule, tense vesicles & reddish-brown crusts. The blisters were not itchy, followed by the slight swelling under the lesion of the left groin. They were skin-colored papules on the abdomen. It was also found that there was a hypertrophic scar on the upper side of the posteromedial side of the left thigh. Histopathology examination showed hyperkeratosis where the keratinocytes proliferation in the areas lined with endothelium. Eosinophilic amorphic mass found inside the lumen. There were hair follicles, sudoriferous glands and sebaceous glands. The proposed diagnosis was lymphangioma (combined microcystic and macrocystis lymphatic malformation) on the abdomen and soft tissue tumor on the left thigh and the buttock. The treatments were carbon dioxide (CO2) laser for lymphangioma and surgical excision for soft tissue tumor.

Conclusion: Lymphangioma is a rare lymphatic vessel disorder that manifests on the superficial dermis. It is commonly found in children. This disease can be treated by CO2 laser.  

Keywords: CO2 laser Frogspawn vesicle Lymphangioma circumscriptum Soft tissue tumor

References

  1. Boon LM, Vikkula M. Vascular Malformations. Harper’s Textb Pediatr Dermatology. Published online 2019:1399-1424. doi:10.1002/9781119142812.ch118
  2. Robert A Schwartz. Lymphangioma. emedicine.medscape.com. Published 2021. https://emedicine.medscape.com/article/1086806-overview
  3. BHATTACHARYYA NC, YADAV K, MITRA SK, PATHAK IC. LYMPHANGIOMAS IN CHILDREN. ANZ J Surg. 1981;51(3):296-300. doi:10.1111/j.1445-2197.1981.tb05961.x
  4. Sonmez K, Karabulut R, Turkyilmaz Z. Macrocystic Lymphangioma in Children Treated by Sclerotherapy With Bleomycin. J Craniofac Surg. 2020;31(3):e250-e251. doi:10.1097/scs.0000000000006202
  5. Requena L WW CC. Lymphatic tumours. Lyon IARC Press. Published online 2006:247-250.
  6. Weinberg S, Prose NS KL. Vascular and lymphatic dysplasia. In: Weinberg S, Prose NS KL, ed. Color Atlas of Pediatric Dermatology. 4th editio. McGraw Hill; 2007:238-250.
  7. Anees A YM, Sherwani R KM. Extensive Lymphangioma Circumscriptum. JIACM. 2006;7(1):55-57.
  8. Weinberg S PN KL. Colour Atlas of Pediatric Dermatology. 4th ed. McGraw Hill; 2007.
  9. ARPAIA N, CASSANO N, VENA GA. Dermoscopic Features of Cutaneous Lymphangioma Circumscriptum. Dermatologic Surg. 2006;32(6):852-854. doi:10.1111/j.1524-4725.2006.32174.x
  10. David E RE, Bernett JL. Murphy GF. Lever’s Histopathology of The Skin. 9th ed. Lippincott Williams & Wilkins; 2005.
  11. Heller M MS. Lymphangioma circumscriptum. Dermatol Online J. 2008;14(5):27.
  12. Bikowski JB, Dumont AMG. Lymphangioma circumscriptum: Treatment with hypertonic saline sclerotherapy. J Am Acad Dermatol. 2005;53(3):442-444. doi:10.1016/j.jaad.2005.04.086
  13. Huilgol SC, Neill S, Barlow RJ. CO2Laser Therapy of Vulval Lymphangiectasia and Lymphangioma Circumscriptum. Dermatologic Surg. 2002;28(7):575-577. doi:10.1046/j.1524-4725.2002.22025.x
  14. Mohamed AO, Razika B, Ali GM, Anas BM H LE. Giant Cystic Lymphangioma in Children: About Two Cases. Saudi J Med Pharm have Sci. 2021;7(1):71-76.
  15. Okazaki T, Iwatani S, Yanai T, et al. Treatment of lymphangioma in children: our experience of 128 cases. J Pediatr Surg. 2007;42(2):386-389. doi:10.1016/j.jpedsurg.2006.10.012

How to Cite

Lestari, W., & Hajar, S. (2021). A rare case of microcystic and macrocytic lymphangioma in 12-year-old girl. Bali Medical Journal, 10(2), 843–846. https://doi.org/10.15562/bmj.v10i2.2422
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