Lymphangioma circumscriptum (LC) is a rare, benign condition, predominantly characterized by the malformation of lymphatic skin vessels. Its onset may be congenital or due to secondary causes such as radiotherapy, infections, or surgical procedures. We present the case of a 55-year-old patient with a pathologic history of squamous cell carcinoma of the penis followed by radical penectomy. Due to metastasis to the locoregional lymph nodes, the entire affected area was subsequently treated with radiation therapy, receiving a total dose of 55.8 Gray. Eight years after this treatment, translucent vesicles filled with a clear liquid appeared on the scrotum. Histopathology confirmed the diagnosis of LC and therapy with CO2 laser was applied, resulting in a favorable outcome. LC of the scrotum may present a long-term radiotherapy-induced complication of this site. Our clinical experience showed that the CO2 laser was the therapy of choice as the vesicles entirely disappeared and healed as white scar-like lesions.
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Article Synopsis
- Lymphangioma is an abnormal growth of lymphatic vessels, with tongue lymphangiomas being relatively rare and traditionally associated with high recurrence rates after treatment.* -
- This study presents two cases where coblation, a form of radiofrequency ablation, was used successfully on tongue lymphangiomas, resulting in rapid recovery and minimal pain for the patients.* -
- The findings suggest that radiofrequency ablation leads to better healing and no recurrence after one year, making it a preferred treatment option for oral lymphangiomas.*
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