Lymphangioma Circumscriptum of Vulva Successfully Treated with Vulvectomy
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Lymphangioma Circumscriptum of Vulva Successfully Treated with Vulvectomy Mamta Singh1 · Madhu Jain1 Received: 2 March 2020 / Accepted: 21 October 2020 © Federation of Obstetric & Gynecological Societies of India 2020
Lymphangioma circumscriptum (LC) is a benign disease of the lymph ducts, usually manifest as small groups of cutaneous vesiculopapular lesions, and may gradually increase numbers and size to form gross lesions as in our case (Fig. 1). A 25-year-old married woman had itching and burning sensation over vulva along with multiple vesicular lesions for 1 month. Patient also had primary amenorrhoea and
Fig. 1 Pre-operative picture of vulva showing multiple fluid filled vesicles
history of vaginoplasty 3 years back. Local examination: multiple small, colourless, vesicular lesions containing clear fluid found over the labia majora. Histopathology (Figs. 2, 3) revealed features of LC. Vulvectomy was done. Immunohistochemistry further confirmed the diagnosis. Patient is improved and is in follow-up without any recurrence, and she is doing well.
Fig. 2 Histopathology revealed large, irregular, cystic dilatation of lymphatic channels in the dermis which contained proteinaceous fluid and red cells
Dr. Mamta Singh is Associate Professor, Department of Obstetrics and Gynaecology, Institute of Medical Sciences, BHU, Varanasi, India; Madhu Jain is Professor and Ex. HOD, Department of Obstetrics and Gynaecology, IMS, BHU, Varanasi, India. * Mamta Singh [email protected] 1
Department of Obstetrics‑Gynaecology, Institute of Medical Sciences, BHU, Varanasi 221005, India
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M. Singh and M. Jain
About the Author
Fig. 3 Histopathological picture of LC showing lymphatic gland dilatation
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Dr. Mamta Singh is working as an Associate Professor in the department of Obstetrics and Gynaecology, IMS, BHU, Varanasi. She has done MBBS (2005) from MLN medical college Allahabad and MD from MLB medical college Jhansi in 2010. She has fellowship in minimal access surgery (FMAS). Her area of interest includes high-risk pregnancy, teaching and research work. She has presented various paper and posters in FOGSI conferences. She is actively involved in academic and educational programs of the hospital. She has served as Treasurer and joint secretary for Varanasi Obs-Gyn society. At present she is the scientific secretary of VOGS.
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