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Koubbach Y, Rabii R, El Houry Y, Oqbani K, Bouknani N. Rare case of inguinal cystic lymphangioma diagnosed and treated in elderly patient. SAGE Open Med Case Rep 2023; 11:2050313X231185477. [PMID: 37434902 PMCID: PMC10331071 DOI: 10.1177/2050313x231185477] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2023] [Accepted: 06/15/2023] [Indexed: 07/13/2023] Open
Abstract
Cystic lymphangioma develops due to the interruption of lymphatic-venous connections during embryogenesis, leading to the formation of a cystic lesion containing lymph. These lesions fall under the ISSVA classification of vascular malformations. The first documented case dates back to 1828, with further elucidation provided by Sabin in 1909 and 1919. Cervicofacial region is the most common site, often showing early-stage symptoms. Inguinal location is rare, but if complications arise, it may present as a strangulated inguinal hernia. The tumor's severity lies in its compression and invasion of the aerodigestive tract and adjacent organs. Diagnosis relies on imaging techniques such as ultrasound and computed tomography, which help determine the mass's nature, boundaries, and relationship with neighboring structures. Asymptomatic lesions are generally monitored, while symptomatic ones require complete surgical excision to minimize the risk of recurrence. At Cheikh Khalifa University Hospital, we present a case highlighting our urology department's experience in diagnosis, patient care, and surgical treatment.
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Affiliation(s)
- Yassine Koubbach
- Yassine Koubbach, Interventional Urology Division,
Urology Department, Cheikh Khalifa University Hospital, Ave Mohamed Taieb Naciri,
Casablanca 82403, Morocco.
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2
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Safaei F, Sadeghi A, Ketabi Moghadam P, Taheri P. Small Bowel Lymphangiectasia Leading to Massive Gastrointestinal Bleeding: A Case Report. Middle East J Dig Dis 2023; 15:60-62. [PMID: 37547165 PMCID: PMC10404075 DOI: 10.34172/mejdd.2023.322] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/07/2022] [Accepted: 12/06/2022] [Indexed: 08/08/2023] Open
Abstract
Lymphangiomas are benign lymphatic system abnormalities that can appear anywhere on the skin and mucous membranes. Lymphangiomas are caused by congenital or acquired lymphatic system disorders. In the congenital form, although the cause is unknown it is said that it is formed by the incorrect attachment of lymphatic channels to the main lymphatic drainage duct before the age of 5 years. lymphangiectasia as a subgroup of lymphangioma occurs seldom in the small bowel, especially in adults. If that happens, protein-losing enteropathy will be the most common presenting sign. In the present study, we introduce a case of a 40-year-old man without a history of any congenital or acquired diseases who was admitted to the emergency room due to long-lasting obscure overt gastrointestinal (GI) bleeding. Normal upper and lower GI endoscopies were suggestive of GI bleeding originating from the small intestine. Despite receiving iron supplements, he continued to have melena and remained anemic. Further evaluation of the small intestine by deep enteroscopy revealed multiple white spots histologically consistent with dilated lymphatics. Intestinal lymphangiectasia was eventually introduced to be the final diagnosis of the patient.
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Affiliation(s)
- Farahnaz Safaei
- Gastroenterology and Liver Diseases Research Center, Research Institute for Gastroenterology and Liver Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Amir Sadeghi
- Gastroenterology and Liver Diseases Research Center, Research Institute for Gastroenterology and Liver Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Pardis Ketabi Moghadam
- Gastroenterology and Liver Diseases Research Center, Research Institute for Gastroenterology and Liver Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Peyman Taheri
- Medical School, Mashhad University of Medical Sciences, Mashhad, Iran
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Komatsu H, Umegaki-Arao N, Futei Y, Iwabuchi E, Ishizaki S, Tanaka M. Two cases of acquired lymphangioma: Dermoscopic-histopathologic correlation between irregular vessels on lacunae. J Dermatol 2021; 48:E506-E507. [PMID: 34227146 DOI: 10.1111/1346-8138.16056] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2021] [Accepted: 06/17/2021] [Indexed: 11/28/2022]
Affiliation(s)
- Hirohiko Komatsu
- Department of Dermatology, Tokyo Women's Medical University Medical Center East, Tokyo, Japan.,Division of Dermatology, Ogikubo Hospital, Tokyo, Japan
| | - Noriko Umegaki-Arao
- Department of Dermatology, Tokyo Women's Medical University Medical Center East, Tokyo, Japan
| | - Yuko Futei
- Division of Dermatology, Ogikubo Hospital, Tokyo, Japan
| | - Eri Iwabuchi
- Department of Dermatology, Tokyo Women's Medical University Medical Center East, Tokyo, Japan
| | - Sumiko Ishizaki
- Department of Dermatology, Tokyo Women's Medical University Medical Center East, Tokyo, Japan
| | - Masaru Tanaka
- Department of Dermatology, Tokyo Women's Medical University Medical Center East, Tokyo, Japan
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A Verrucous Plaque With Linear Fissures in a Patient With Crohn's Disease: Answer. Am J Dermatopathol 2021; 43:461-463. [PMID: 34006733 DOI: 10.1097/dad.0000000000001834] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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5
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Dayan R, Sadownik L, Reutter J. Maladie de Crohn vulvaire. CMAJ 2021; 193:E831-E832. [PMID: 34059505 PMCID: PMC8177928 DOI: 10.1503/cmaj.190112-f] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
Affiliation(s)
- Riki Dayan
- Département d'obstétrique et de gynécologie (Dayan), Faculté de médecine, Université de la Colombie-Britannique; BC Centre for Vulvar Health (Sadownik), Gordon and Leslie Diamond Health Care Centre; Départements de gynécologie, de dermatologie et des sciences de la peau (Sadownik), Université de la Colombie-Britannique; BC Centre for Vulvar Health (Sadownik); Vancouver Coastal Health Authority (Sadownik), Vancouver, C.-B.; Dermatopathologie (Reutter), Piedmont Pathology Associates Inc., Hickory, N.C.
| | - Leslie Sadownik
- Département d'obstétrique et de gynécologie (Dayan), Faculté de médecine, Université de la Colombie-Britannique; BC Centre for Vulvar Health (Sadownik), Gordon and Leslie Diamond Health Care Centre; Départements de gynécologie, de dermatologie et des sciences de la peau (Sadownik), Université de la Colombie-Britannique; BC Centre for Vulvar Health (Sadownik); Vancouver Coastal Health Authority (Sadownik), Vancouver, C.-B.; Dermatopathologie (Reutter), Piedmont Pathology Associates Inc., Hickory, N.C
| | - Jason Reutter
- Département d'obstétrique et de gynécologie (Dayan), Faculté de médecine, Université de la Colombie-Britannique; BC Centre for Vulvar Health (Sadownik), Gordon and Leslie Diamond Health Care Centre; Départements de gynécologie, de dermatologie et des sciences de la peau (Sadownik), Université de la Colombie-Britannique; BC Centre for Vulvar Health (Sadownik); Vancouver Coastal Health Authority (Sadownik), Vancouver, C.-B.; Dermatopathologie (Reutter), Piedmont Pathology Associates Inc., Hickory, N.C
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6
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Affiliation(s)
- Riki Dayan
- Department of Obstetrics and Gynecology (Dayan), Faculty of Medicine, The University of British Columbia; BC Centre for Vulvar Health (Sadownik), Gordon and Leslie Diamond Health Care Centre; Departments of Gynecology, and Dermatology and Skin Science (Sadownik), The University of British Columbia; BC Centre for Vulvar Health (Sadownik); Vancouver Coastal Health Authority (Sadownik), Vancouver, BC; Dermatopathology (Reutter), Piedmont Pathology Associates Inc., Hickory, NC.
| | - Leslie Sadownik
- Department of Obstetrics and Gynecology (Dayan), Faculty of Medicine, The University of British Columbia; BC Centre for Vulvar Health (Sadownik), Gordon and Leslie Diamond Health Care Centre; Departments of Gynecology, and Dermatology and Skin Science (Sadownik), The University of British Columbia; BC Centre for Vulvar Health (Sadownik); Vancouver Coastal Health Authority (Sadownik), Vancouver, BC; Dermatopathology (Reutter), Piedmont Pathology Associates Inc., Hickory, NC
| | - Jason Reutter
- Department of Obstetrics and Gynecology (Dayan), Faculty of Medicine, The University of British Columbia; BC Centre for Vulvar Health (Sadownik), Gordon and Leslie Diamond Health Care Centre; Departments of Gynecology, and Dermatology and Skin Science (Sadownik), The University of British Columbia; BC Centre for Vulvar Health (Sadownik); Vancouver Coastal Health Authority (Sadownik), Vancouver, BC; Dermatopathology (Reutter), Piedmont Pathology Associates Inc., Hickory, NC
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7
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Pei S, Fischer AS, Yan AC, Jen M, Kovarik CL, Chu EY, Rubin AI. Lymphedematous verrucous changes of the genital skin: an extraintestinal manifestation of Crohn disease. J Cutan Pathol 2021; 48:465-468. [PMID: 33470431 DOI: 10.1111/cup.13723] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/24/2019] [Revised: 04/17/2020] [Accepted: 04/20/2020] [Indexed: 11/29/2022]
Affiliation(s)
- Susan Pei
- Department of Dermatology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania
| | - Andrew S Fischer
- Department of Dermatology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania
| | - Albert C Yan
- Section of Pediatric Dermatology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania
| | - Melinda Jen
- Section of Pediatric Dermatology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania
| | - Carrie L Kovarik
- Department of Dermatology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania
| | - Emily Y Chu
- Department of Dermatology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania
| | - Adam I Rubin
- Department of Dermatology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania.,Section of Pediatric Dermatology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania
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Hara H, Mihara M. Lymphaticovenous anastomosis and resection for genital acquired lymphangiectasia (GAL). J Plast Reconstr Aesthet Surg 2018; 71:1625-1630. [DOI: 10.1016/j.bjps.2018.05.015] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2017] [Revised: 04/08/2018] [Accepted: 05/26/2018] [Indexed: 10/14/2022]
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Podoplanin and SOX2 Expression in CIN 3-like Squamous Cell Carcinoma of the Cervix. Int J Gynecol Pathol 2018; 37:59-67. [PMID: 28319578 DOI: 10.1097/pgp.0000000000000383] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
Abstract
Squamous cell carcinoma (SCC) of the uterine cervix occasionally demonstrates a deceptive growth pattern that mimics endocervical crypt involvement by cervical intraepithelial neoplasia, grade 3 (CIN 3). Such CIN 3-like SCCs may be misinterpreted as noninvasive or minimally invasive leading to delays in diagnosis. Little is known of the factors that influence the growth patterns of cervical SCC but we suggested recently that CIN 3-like tumors might demonstrate "collective cellular invasion," which is characterized by a retained epithelial phenotype. This contrasts with the more overtly infiltrative growth of conventional SCC, which exhibits features suggestive of epithelial-mesenchymal transition. In the current study we investigated podoplanin (PP) and SOX2 expression in normal squamous epithelium, in CIN 3 and in 16 CIN 3-like SCCs 11 of which also showed a conventional invasive component. Compared with normal epithelium, CIN 3 often showed a focal loss of basal PP staining and most cases showed increased, typically diffuse, SOX2 expression. Although the immunohistochemical findings were not uniform, they generally supported collective cellular invasion in CIN 3-like tumor areas as these were often PP positive and showed diffuse SOX2 expression. In contrast, most conventional SCCs showed only focal SOX2 staining and they were typically negative, or only focally positive, for PP. The staining patterns did not reliably distinguish CIN 3 from CIN 3-like SCC. Small infiltrative tumor nests around the margins of CIN 3 or deeply invasive CIN 3-like SCC often showed a localized reduction in SOX2 expression suggesting SOX2 downregulation during the transition to invasive growth.
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Erdem D, Günizi ÖC, Yiğit Çelik N. Endometrium karsinomu tedavisi sonrası edinilmiş vulvar Lenfanjioma sirkumskriptum : Olgu Sunumu. ACTA MEDICA ALANYA 2018. [DOI: 10.30565/medalanya.384893] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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Hara H, Mihara M, Anan T, Fukumoto T, Narushima M, Iida T, Koshima I. Pathological Investigation of Acquired Lymphangiectasia Accompanied by Lower Limb Lymphedema: Lymphocyte Infiltration in the Dermis and Epidermis. Lymphat Res Biol 2016; 14:172-80. [DOI: 10.1089/lrb.2016.0016] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023] Open
Affiliation(s)
- Hisako Hara
- Department of Lymphatic and Reconstructive Surgery, Saiseikai Kawaguchi General Hospital, Saitama, Japan
- Department of Plastic and Reconstructive Surgery, The University of Tokyo Hospital, Tokyo, Japan
| | - Makoto Mihara
- Department of Lymphatic and Reconstructive Surgery, Saiseikai Kawaguchi General Hospital, Saitama, Japan
| | - Takashi Anan
- Sapporo Dermatopathology Institute, Hokkaido, Japan
| | | | - Mitsunaga Narushima
- Department of Plastic and Reconstructive Surgery, The University of Tokyo Hospital, Tokyo, Japan
| | - Takuya Iida
- Department of Plastic and Reconstructive Surgery, The University of Tokyo Hospital, Tokyo, Japan
| | - Isao Koshima
- Department of Plastic and Reconstructive Surgery, The University of Tokyo Hospital, Tokyo, Japan
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Valente K, Montgomery K, Schultenover S, Desouki MM. Acquired vulvar lymphangioma circumscriptum after cervical cancer treatment: Case report. Gynecol Oncol Rep 2016; 16:31-3. [PMID: 27331134 PMCID: PMC4899408 DOI: 10.1016/j.gore.2016.03.006] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/07/2016] [Revised: 03/10/2016] [Accepted: 03/24/2016] [Indexed: 11/28/2022] Open
Abstract
Vulvar lymphangioma circumscriptum (LC) is a rare entity which may present as a painful, warty lesion. In contrast to the congenital form, which occurs in children, the acquired form arises in older adults and may be associated with infection, Crohn's disease, or prior pelvic/regional surgery. We present a case of acquired LC of the vulva in a 55-year-old woman who presented with a 3-4 year history of vulvar pain following chemotherapy, radiation, and brachytherapy for cervical cancer. Vulvar shave biopsies followed by excision revealed a thickened dermis with epidermal hyperkeratosis, parakeratosis, elongated rete ridges and dilated lymphatic channels containing eosinophilic material and scattered thrombi. The differential diagnosis for this unusual lesion includes more common conditions such as condyloma acuminatum, fungating squamous cell carcinoma and molluscum contagiosum. It is important to recognize the clinical presentation as well as the distinct histological appearance of this rare benign entity.
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Affiliation(s)
- Kari Valente
- Department of Pathology, Microbiology and Immunology, Vanderbilt University Medical Center, Nashville, TN, United States
| | - Kathleen Montgomery
- Department of Pathology, Microbiology and Immunology, Vanderbilt University Medical Center, Nashville, TN, United States
| | - Stephen Schultenover
- Department of Pathology, Microbiology and Immunology, Vanderbilt University Medical Center, Nashville, TN, United States
| | - Mohamed Mokhtar Desouki
- Department of Pathology, Microbiology and Immunology, Vanderbilt University Medical Center, Nashville, TN, United States
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Rincon K, Shah P, Ramella-Roman J, Bhansali S. A Review of Engineering Approaches for Lymphedema Detection. IEEE Rev Biomed Eng 2016; 9:79-90. [PMID: 27333610 DOI: 10.1109/rbme.2016.2582178] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Edema is a condition characterized by excessive swelling of a tissue due to an abnormal accumulation of interstitial fluid in the subcutaneous tissue. More specifically, disruption of the lymphatic system causes what is known as lymphedema. This condition is commonly seen in breast cancer survivors postradiotherapy treatment, chemotherapy, and surgeries; this population has shown high risk of developing lymphedema in the limbs. Throughout the years, several techniques have been developed and implemented for the detection and measurement of lymphedema, including techniques to measure the diseased limb volume, electrical techniques to measure the water content in tissues, and optical techniques to measure either tissue absorbance or limb volume. However, there is still no method that allows for continuous monitoring of the disease and provides a better understanding of its progression. This study describes the different approaches that have been used and that could be used for lymphedema measurement.
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Chang MB, Newman CC, Davis MDP, Lehman JS. Acquired lymphangiectasia (lymphangioma circumscriptum) of the vulva: Clinicopathologic study of 11 patients from a single institution and 67 from the literature. Int J Dermatol 2016; 55:e482-7. [DOI: 10.1111/ijd.13264] [Citation(s) in RCA: 40] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/27/2015] [Revised: 10/05/2015] [Accepted: 11/18/2015] [Indexed: 11/27/2022]
Affiliation(s)
| | | | | | - Julia S. Lehman
- Department of Dermatology; Mayo Clinic; Rochester MN USA
- Division of Anatomic Pathology; Mayo Clinic; Rochester MN USA
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Abstract
Acquired lymphangiectasia (AL) is a significant and rare complication of surgery and radiotherapy. We report lymphangiectasia in a 40-year-old woman who had undergone radical mastectomy and radiotherapy. After 4 years of combined therapy, she developed multiple vesicles and bullae. Skin biopsy confirmed the diagnosis of lymphangiectasia. The case is unique as it is not associated with lymphedema, which is a usual accompaniment of lymphangiectasia following surgery and radiotherapy. AL is usually asymptomatic, but trauma may cause recurrent cellulitis. Treatment modalities include electrodessication, surgical excision, sclerotherapy and carbon dioxide laser ablation.
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Hoffmann J, Hadaschik EN, Schäkel K, Wacker J, Enk AH, Hartschuh W. Multiple perianale Papeln bei einer 37-jährigen Frau. J Dtsch Dermatol Ges 2014. [DOI: 10.1111/ddg.12367_suppl] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Jochen Hoffmann
- Department of Dermatology, Heidelberg University Hospital; Heidelberg
| | - Eva N. Hadaschik
- Department of Dermatology, Heidelberg University Hospital; Heidelberg
| | - Knut Schäkel
- Department of Dermatology, Heidelberg University Hospital; Heidelberg
| | | | - Alexander H. Enk
- Department of Dermatology, Heidelberg University Hospital; Heidelberg
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Hoffmann J, Hadaschik EN, Schäkel K, Wacker J, Enk AH, Hartschuh W. Multiple perianal papular lesions in a 37-year-old woman. J Dtsch Dermatol Ges 2014; 12:831-2. [PMID: 24902968 DOI: 10.1111/ddg.12367] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Affiliation(s)
- Jochen Hoffmann
- Department of Dermatology, Heidelberg -University Hospital, Heidelberg, Germany
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Wang L, Yuan W, Geng S, Xiong Y, Zhang D, Zhao X, Li S, Bi X, Gao T, Wang G. Expression of lymphatic markers in angiokeratomas. J Cutan Pathol 2014; 41:576-81. [PMID: 24666194 DOI: 10.1111/cup.12349] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2013] [Revised: 02/05/2014] [Accepted: 03/22/2014] [Indexed: 11/28/2022]
Affiliation(s)
- Lei Wang
- Department of Dermatology, Xijing Hospital; Fourth Military Medical University; Xi'an China
| | - Wei Yuan
- Department of Dermatology; Affiliated Hospital of Zunyi Medical College; Zunyi China
| | - Songmei Geng
- Department of Dermatology, The Second Affiliated Hospital; Medical School of Xi'an Jiaotong University; Xi'an China
| | - Ya Xiong
- Department of Dermatology, Xinan Hospital; Third Military Medical University; Chongqing China
| | - Dezhi Zhang
- Department of Dermatology; The People's Hospital of Xinjiang Uygur Autonomous Region; Urumqi China
| | - Xiaoqing Zhao
- Department of Dermatology, Ruijin Hospital; Shanghai Jiaotong University School of Medicine; Shanghai China
| | - Shenqiu Li
- Department of Dermatology, Tongji Hospital; Tongji Medical College of Huazhong University of Science and Technology; Wuhan China
| | - Xinling Bi
- Department of Dermatology, Changhai Hospital; Second Military Medical University; Shanghai China
| | - Tianwen Gao
- Department of Dermatology, Xijing Hospital; Fourth Military Medical University; Xi'an China
| | - Gang Wang
- Department of Dermatology, Xijing Hospital; Fourth Military Medical University; Xi'an China
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Kim WJ, Park HJ, Kim HS, Kim SH, Ko HC, Kim BS, Kim MB. Vulval metastasis from squamous cell carcinoma of the cervix clinically presenting as lymphangioma circumscriptum. Ann Dermatol 2011; 23 Suppl 1:S64-7. [PMID: 22028576 PMCID: PMC3199426 DOI: 10.5021/ad.2011.23.s1.s64] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2010] [Revised: 09/16/2010] [Accepted: 09/16/2010] [Indexed: 11/30/2022] Open
Abstract
Patients with cervical cancer may develop local recurrence or distant metastasis, and the rate of these events is increased in proportion to the clinical stage. Cutaneous metastasis of cervical cancer is very rare and only a few cases have been reported in Korean literature. It is common at the abdominal wall, vulva, and anterior chest wall and mainly presents as an asymptomatic dermal or subcutaneous nodule, ulcer or plaque. We herein report on an interesting case of vulval metastasis from squamous cell carcinoma of the cervix with an unusual clinical manifestation resembling lymphagioma circumscriptum.
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Affiliation(s)
- Won-Jeong Kim
- Department of Dermatology, School of Medicine, Pusan National University, Busan, Korea
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Kokcu A, Yildiz L, Bildircin D, Kandemir B. Vulvar lymphangioma circumscriptum presenting periodic symptoms. BMJ Case Rep 2010; 2010:2010/dec21_1/bcr0620103056. [PMID: 22802470 DOI: 10.1136/bcr.06.2010.3056] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
The authors report a case of acquired lymphangioma circumscriptum (LC), localised in the right labium majus of vulva and characterised by periodic symptoms for 8 years; however, 3 months after the right major labiectomy, the same symptoms developed in both the left labium majus and the right labium minus. To the best of our knowledge, this is the first case of acquired LC with this type of localisation and symptoms without any known aetiologic factor.
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Affiliation(s)
- Arif Kokcu
- Department of Obstetrics and Gynecology, Ondokuz Mayis University, Medical Faculty, Samsun, Turkey.
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Sagili H, Prabhu K. Unilateral acquired vulval lymphangiectasia mimicking a vulval tumour. J OBSTET GYNAECOL 2010; 30:527-8. [PMID: 20604667 DOI: 10.3109/01443615.2010.487169] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Affiliation(s)
- H Sagili
- Department of Obstetrics and Gynaecology, Jawaharlal Institute of Postgraduate Medical Education & Research (JIPMER), Pondicherry, India.
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Walsh CA, Allen W, Moore KH. ‘Urinary incontinence’ post-radiotherapy: A diagnostic conundrum. J OBSTET GYNAECOL 2010; 30:424-5. [DOI: 10.3109/01443611003725464] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Affiliation(s)
- C. A. Walsh
- Pelvic Floor Unit, St George Hospital, University of New South Wales, Sydney, Australia
| | - W. Allen
- Pelvic Floor Unit, St George Hospital, University of New South Wales, Sydney, Australia
| | - K. H. Moore
- Pelvic Floor Unit, St George Hospital, University of New South Wales, Sydney, Australia
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