Vulval lymphangiectasia post-radiotherapy in cervical cancer: A rare case report

Cutaneous lymphangiectasia is a benign cutaneous disorder of dilatation of the dermal and subcutaneous lymphatic channels, which occurs rarely on the vulva. It can be congenital or acquired developing secondary to tuberculosis, surgery, and radiotherapy. We report the case of a 58-year-old female pa...

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Main Authors: P Aswathi Raj, C Kanmani Indra, M I Nasrin, Niji Sara Jacob
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Clinical Dermatology Review
Subjects:
Online Access:http://www.cdriadvlkn.org/article.asp?issn=2542-551X;year=2022;volume=6;issue=2;spage=150;epage=150;aulast=Raj
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author P Aswathi Raj
C Kanmani Indra
M I Nasrin
Niji Sara Jacob
author_facet P Aswathi Raj
C Kanmani Indra
M I Nasrin
Niji Sara Jacob
author_sort P Aswathi Raj
collection DOAJ
description Cutaneous lymphangiectasia is a benign cutaneous disorder of dilatation of the dermal and subcutaneous lymphatic channels, which occurs rarely on the vulva. It can be congenital or acquired developing secondary to tuberculosis, surgery, and radiotherapy. We report the case of a 58-year-old female patient who gives a history of cervical cancer, for which she underwent hysterectomy and postsurgery radiotherapy 3 years back, now presenting with multiple lumps over the vulva, which discharged clear fluid for 1 year. Acquired vulval lymphangiectasia develops 7–15 years postradiotherapy or surgery commonly, while in our case, it developed earlier. On local examination, there were multiple shiny translucent and hyperpigmented “frog-spawn like” vesicles and papules present over the lower midabdomen, mons pubis, and labia majora. Diagnosis of vulval lymphangiectasia was made on the clinical findings and biopsy. Biopsy revealed dilated lymphatic channels in the superficial and deep dermis. CO2 laser treatment was done for the patient.
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spelling doaj.art-2f2b2088ec59436bab42bed3fa603bf62022-12-22T04:02:21ZengWolters Kluwer Medknow PublicationsClinical Dermatology Review2542-551X2542-55282022-01-016215015010.4103/cdr.cdr_131_20Vulval lymphangiectasia post-radiotherapy in cervical cancer: A rare case reportP Aswathi RajC Kanmani IndraM I NasrinNiji Sara JacobCutaneous lymphangiectasia is a benign cutaneous disorder of dilatation of the dermal and subcutaneous lymphatic channels, which occurs rarely on the vulva. It can be congenital or acquired developing secondary to tuberculosis, surgery, and radiotherapy. We report the case of a 58-year-old female patient who gives a history of cervical cancer, for which she underwent hysterectomy and postsurgery radiotherapy 3 years back, now presenting with multiple lumps over the vulva, which discharged clear fluid for 1 year. Acquired vulval lymphangiectasia develops 7–15 years postradiotherapy or surgery commonly, while in our case, it developed earlier. On local examination, there were multiple shiny translucent and hyperpigmented “frog-spawn like” vesicles and papules present over the lower midabdomen, mons pubis, and labia majora. Diagnosis of vulval lymphangiectasia was made on the clinical findings and biopsy. Biopsy revealed dilated lymphatic channels in the superficial and deep dermis. CO2 laser treatment was done for the patient.http://www.cdriadvlkn.org/article.asp?issn=2542-551X;year=2022;volume=6;issue=2;spage=150;epage=150;aulast=Rajacquired lymphangiomacervical cancerlymphangiectasia
spellingShingle P Aswathi Raj
C Kanmani Indra
M I Nasrin
Niji Sara Jacob
Vulval lymphangiectasia post-radiotherapy in cervical cancer: A rare case report
Clinical Dermatology Review
acquired lymphangioma
cervical cancer
lymphangiectasia
title Vulval lymphangiectasia post-radiotherapy in cervical cancer: A rare case report
title_full Vulval lymphangiectasia post-radiotherapy in cervical cancer: A rare case report
title_fullStr Vulval lymphangiectasia post-radiotherapy in cervical cancer: A rare case report
title_full_unstemmed Vulval lymphangiectasia post-radiotherapy in cervical cancer: A rare case report
title_short Vulval lymphangiectasia post-radiotherapy in cervical cancer: A rare case report
title_sort vulval lymphangiectasia post radiotherapy in cervical cancer a rare case report
topic acquired lymphangioma
cervical cancer
lymphangiectasia
url http://www.cdriadvlkn.org/article.asp?issn=2542-551X;year=2022;volume=6;issue=2;spage=150;epage=150;aulast=Raj
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AT ckanmaniindra vulvallymphangiectasiapostradiotherapyincervicalcancerararecasereport
AT minasrin vulvallymphangiectasiapostradiotherapyincervicalcancerararecasereport
AT nijisarajacob vulvallymphangiectasiapostradiotherapyincervicalcancerararecasereport