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Lymphangioma circumscriptum post radiotherapy for penile cancer treated with CO₂ laser

Dietmar Schulz ; Sana Clinic Leipziger Land GmbH, Urology Clinic , Borna, Germany
Andreas Lein ; Sana Clinic Leipziger Land GmbH, Urology Clinic , Borna, Germany
Ancuta Proca Nicula orcid.org/0000-0001-6576-7921 ; “Victor Babes” University of Medicine and Pharmacy, Dermatology, Timisoara, Romania
Katrin Schierle ; University Hospital Leipzig, Institute of Pathology , Leipzig, Germany
Caius Solovan ; “Victor Babes” University of Medicine and Pharmacy, Dermatology, Timisoara, Romania

Abstract

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.

Keywords

Hrčak ID:

199819

URI

https://hrcak.srce.hr/199819

Publication date:

1.5.2018.

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