LYMPHANGIOMAS and LYMPHANGIOMA CIRCUMSCRIPTUM

By Gary M. White, MD

Solitary lymphangioma A solitary lymphangioma on the face acquired in adulthood.


Lymphangiomas are benign vesicles or blebs of lymphatic tissue. Lymphangioma circumscriptum is a congenital (or soon thereafter) lymphatic malformation of the skin appearing as a group of fluid-filled lymphatic vesicles or blebs. Ninety percent are detected in the first two years of life. The fluid is lymphatic and clear or blood-tinged. Lymphangiomas may also occur later in life on the face, on the chest after mastectomy and radiation therapy or in any location in the setting of chronic lymphedema.

Clinical

Grouped vesicles with onset from birth to adulthood is characteristic of lymphangioma circumscriptum. It may be congenital (90% onset first two years of life) and large or acquired and small. The tongue is a common site. Oozing, crusting, swelling, pain and itch are not uncommon. The fluid may be blood-tinged or show a blood/fluid line. These lesions often communicate with deeper lymphatics which may explain why simple destruction commonly leads to recurrence. Lesions may occur in the genital area.

Treatment

No treatment is necessary. Simple destruction , e.g. electrodesication or surgical excision may be tried. The fractional 10,600-nm carbon dioxide (CO2) laser and if the fluid is blood tinged, the tunable dye laser have been used.

Additional Pictures

Solitary lymphangioma

References

Lesion of right buttock. A case of lymphangioma circumscriptum successfully treated with electrodessication following failure of pulsed dye laser. Dermatology Online Journal 19(3)

Lesion on the tongue. Contemporary Clinical Dentistry

RegionalDerm

Homepage | FAQs | Use of Images | Contact Dr. White


It is not the intention of RegionalDerm.com to provide specific medical advice, diagnosis or treatment. RegionalDerm.com only intends to provide users with information regarding various medical conditions for educational purposes and will not provide specific medical advice. Information on RegionalDerm.com is not intended as a substitute for seeking medical treatment and you should always seek the advice of a qualified healthcare provider for diagnosis and for answers to your individual questions. Information contained on RegionalDerm.com should never cause you to disregard professional medical advice or delay seeking treatment. If you live in the United States and believe you are having a medical emergency call 911 immediately.