Lymphangioma circumscriptum (LC) is a benign, superficial lymphatic malformation that presents as clusters of translucent vesicles resembling frog spawn. It is rare in adults and may present secondary to lymphatic obstruction or prior surgery/radiotherapy. We report the case of a 70-year-old female presenting with asymptomatic multiple tiny grouped lesions over the vulvar region associated with unilateral lower limb swelling. Based on clinical, dermoscopic, and histopathological findings, a final diagnosis of LC was made, and the patient was managed with multiple sessions of electrocautery, which resulted in significant improvement. This case highlights the diagnostic challenges, dermoscopic clues, and treatment outcomes in acquired LC.
Joshi et al. (Thu,) studied this question.