Radyofrekans ablasyonla tedavi edilen vulvar lenfanjioma sirkumskriptum: Olgu sunumu

Year 2020, , 100 - 103, 30.12.2020

Dua Cebeci , Şirin Yaşar , Pembegul Güneş , Sema Aytekin , Fatih Göktay

https://doi.org/10.33204/mucosa.806130

Abstract

Lenfanjiyoma sirkumskriptum (LS), derin dermal ve subkutan lenfatik kanalların hamartomatöz lenfatik malformasyonu ile giden nadir benign bir deri hastalığıdır. Aksilla, omuz, kasık ve vulva gibi farklı alanlarda meydana geldiğinde, dermatologlar için terapötik bir zorluk yaratır. Geçmişte hoş olmayan bu cilt görünümünü tedavi etmek için cerrahi eksizyon, lazerler ve skleroterapi gibi çeşitli yöntemler kullanılmıştır. Bu makalede vulvar LS’li bir kadın hastada radyofrekans ablasyonunun etkinliğini bildiriyoruz. Radyofrekansın tedavi etkinliği, hastamızda 6 aylık takip süresi boyunca nüks olmaksızın tatmin ediciydi. Önceki çalışmalara dayanarak, radyofrekans tekniği, bizim vakamızda olduğu gibi, LS yönetimi için güvenli ve uygun maliyetli bir tedavidir.

Keywords

radyofrekans, lenfanjiom, hamartomatöz malformasyon

Supporting Institution

destekleyen kurum yoktur

Lymphangioma circumscriptum of the vulva treated with radiofrequency ablation: case report

Abstract

Lymphangioma circumscriptum (LC) is a rare benign skin disease involving hamartomatous lymphatic malformation of the deep dermal and subcutaneous lymphatic ducts. Upon occuring in uncommon areas such as axilla, shoulder, groin, and vulva, it is a therapeutic challenge for the dermatologist. Various methods such as surgical excision, lasers, and sclerotherapy have been used in the past to treat this unsightly skin condition. In this article we report the efficacy of a radiofrequency ablation in a female patient with vulvar LC. The treatment efficiency of radiofrequency was satisfactory in our patient without recurrence during the 6-month follow-up period. Based on previous studies, radiofrequency technique is a safe and cost-effective treatment for LC management, as in our case.

Keywords

radiofrequency, lymphangioma, hamartomatous malformation

References

• Erdogan AG, Balaban D, Koc K. Vulvar lymphangioma circumscriptum: a case report. Turkderm 2005;39:54-56.
• Haroon S, Hasan SH. Lymphangioma circumscriptum in the scrotum: a case report. J Med Case Rep 2012;6:233.
• Lapidoth M, Ackerman L, Amitai DB, Raveh E, Kalish E, David M. Treatment of lymphangioma circumscriptum with combined radiofrequency current and 900 nm diode laser. Dermatol Surg 2006;32:790-4.
• Bikowski JB, Dumont AM. Lymphangioma circumscriptum: treatment with hypertonic saline sclerotherapy. J Am Acad Dermatol 2005;53:442-4.
• Harwood CA, Mortimer PS. Acquired vulval lymphangiomata mimicking genital warts. Br J Dermatol 1993;129: 334-6.
• Sachdeva S. Lymphangioma circumscriptum treated with radiofrequency ablation. Indian J Dermatol Dermatol 2011;56:77-8.
• Kudur MH, Hulmani M. Extensive and invasive lymphangioma circumscriptum in a young female: a rare case report and review of the literature. Indian Dermatol Online J 2013;4:199-201.
• Sinha A, Phukan JP, Jalan S, Pal S. Lymphangioma circumscriptum of the vulva: report of a rare case. J Midlife Health 2015;6:91-3.
• Whimster IW. The pathology of lymphangioma circumscriptum. Br J Dermatol 1976;94:473-86.
• Jappe U, Zimmermann T, Kahle B, Petzoldt D. Lymphangioma circumscriptum of the vulva following surgical and radiological therapy of cervical cancer. Sex Transm Dis 2002;29:533-5.
• Khunger N. Combination technique of radiofrequency ablation with sclerotherapy in acquired lymphangiectasis of the vulva. J Cutan Aesthet Surg 2009;2:33-5.