What question did this study set out to answer?

This report aims to explore a rare case of lymphangioma circumscriptum post-radiotherapy and its management.

April 1, 2026Journal of Datta Meghe Institute of Medical Sciences University1 citations

A Rare Case Report of Postradiotherapy Vulvar Lymphangioma Circumscriptum: Clinical, Dermoscopic, Histopathological Correlation, and Management

MJManasi Mukund JoshiDatta Meghe Institute of Medical Sciences KRKeerthana RachamaduguDatta Meghe Institute of Medical Sciences SJSugat JawadeDatta Meghe Institute of Medical Sciences

Key Points

This report aims to explore a rare case of lymphangioma circumscriptum post-radiotherapy and its management.
Presented a clinical case of a 70-year-old female with vulvar lesions
Utilized dermoscopy for visual assessment
Performed histopathological analysis to confirm the diagnosis
Managed the condition with multiple electrocautery sessions
Diagnosis of lymphangioma circumscriptum was confirmed through clinical and histopathological evaluation
Significant improvement was observed following electrocautery treatment
Unilateral lower limb swelling was associated with the lesions

Abstract

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.

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