Information on all the types of lymphangiectasia, including intestinal, pulmonary, renal, cutaneous (skin). Sponsored by Pat O'Connor

Monday, January 22, 2007

A review of the surgical treatment of lymphangiectasia and vulval lymphangioma: four case reviews.

A review of the surgical treatment of lymphangiectasia and vulval lymphangioma: four case reviews.

J Plast Reconstr Aesthet Surg. 2006;59(12):1442-5. Epub 2006 Mar 9.

Makh DS,
Mortimer P,
Powell B.

Department of Plastic Surgery, Plastic Surgery Unit, St George's Hospital, London, SW17 ORE, UK.

OBJECTIVE: To evaluate whether surgical management of vulval lymphoedema and/or lymphangiectasia conveys any longstanding patient benefit.

PATIENT AND METHODS: A qualitative analysis of signs and symptoms that occurred before and after surgical treatment for vulval lymphoedema and/or lymphangiectasia was performed. This was done by analysis of patient notes and telephone conducted interview.

RESULTS: From a hospital database search, four patients were found to have had surgical treatment - three for lymphangioma and one for lymphangiectasia. Overall there was a clear improvement in the signs and symptoms associated with these conditions. In particular, all patients reported an improvement (i.e. a reduction or elimination) in the amount of oedema following surgery.

CONCLUSION: Carbon dioxide laser therapy and superficial radiotherapy have been previously described for the management of vulval lymphangioma and lymphangiectasia with limited success, whereas our data suggests surgery offers a more permanent solution. In particular, labial reduction seems to be more successful than methods such as lymphovenous anastomoses and lymphangioplasties. A single operation may provide benefit for up to ten years. This approach has the potential to allow patients to be rehabilitated to normal life and activity.


* * * * *
Vulval lymphangiectasia.

Department of Dermatology, Bristol Royal Infirmary, Bristol, UK.

Three cases of lymphangiectasia of the vulva are reported. One case followed Wertheim's hysterectomy for carcinoma of the cervix; two other cases had Crohn's disease with perineal involvement. Lymphangiectasia is a secondary phenomenon resulting from obstruction of previously normal lymphatics. This is in contrast with lymphangioma which is an anatomical abnormality. A review of the literature suggests that the vulval skin may be particularly susceptible to the formation of lymphangiectasia, and our patients' experiences suggest that they are easily mis-diagnosed.

PMID: 2684843 [PubMed - indexed for MEDLINE]

See Also:

Vulvar lymphangiectasias in Crohn's disease