Lymphangioma circumscriptum presents as cutaneous vesicles or skin tags that drain lymphatic fluid. Deep, sequestered lymphatic cisterns encircled by smooth muscle are thought to be the cause of the skin manifestations, and selective resection of the deep cisterns, not the involved overlying skin, has been suggested as the treatment of choice. We report a successful treatment of lymphangioma circumscriptum using suction-assisted lipectomy to obliterate the deep lymphatic cisterns and their vertical channels communicating to the skin.
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Lymphangioma circumscriptum, one of the common forms of lymphangioma, can be either congenital or acquired. Various acquired conditions can lead to its causation and one of the causes might be untreated hidradenitis suppurativa. So, this report highlights the need of early interventions for hidradenitis suppurativa as lymphangioma circumscriptum can be one of its consequences later in life.
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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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