Acquired vulvar Lymphangioma circumscriptum after endometriumcancertreatment : A Case Report

Lymphangiomas are uncommon, hamartomatous malformations of the lymphatic system that involve the skin and subcutaneous tissues. The most common type is lymphangioma circumscriptum. Vulvar lymphangioma circumscriptum (LC) is a rare entity which may present as a painful, warty lesion with sexual dysfunction and infection as a common presenting symptoms. Congenital form occurs in children while the acquired form arises in older adults and may be associated with infection, cancer, Crohn's disease, or prior pelvic surgery. We present a case of acquired LC of the vulva in a 73-year-old woman who presented with a one-year history of vulvar lesion and itching and following surgery and radiotherapy for endometrium cancer. Distinguishing LC from other conditions such as genital warts is important for optimizing patient outcomes, by recognizing any underlying conditions and treating them accordingly. So it is important to recognize the clinical presentation as well as the distinct histological appearance of this rare benign entity