Department of Plastic, Reconstructive and Aesthetic Surgery, Sapienza University of Rome, Viale del Policlinico 155, 00161, Rome, Italy.
Aesthetic Plast Surg. 2013 Oct;37(5):960-4. doi: 10.1007/s00266-013-0201-6. Epub 2013 Aug 16.
Lymphangioma, a rare benign malformation of lymphatic channels, is among the surgically treatable diseases of the lymphatic vessels. However, damage to surrounding structures together with incomplete resection due to adjacent organ infiltration and a high recurrence rate have encouraged the search for alternative treatments. This study aimed to identify the best therapeutic management for this difficult-to-treat disease.
This report describes a case of congenital lymphangioma in the gluteal region in a young woman. First, sclerotherapy of the lymphangioma was performed and then surgical excision of residual lesions. Finally, as a third therapeutic step, the patient also was subjected to a cycle of laser therapy with the aim of further improving the appearance of the gluteal region. Pulsed dye laser was used to remove cutaneous dyschromias, and an erbium:yttrium-aluminum-garnet laser was used to remove surface irregularities and obtain better skin smoothness. The outcome assessments included standardized photography, the physician's global assessment, the patient's satisfaction scores, and magnetic resonance imaging of the gluteal region.
All the lesions of lymphangioma were removed. After the last laser treatment, the skin of the entire treated region was eutrophic and uniform in color, and it appeared to be smooth and soft when palpated. The patient was satisfied with the clinical and aesthetic results achieved.
The combination of sclerotherapy with surgery can be a good solution for the treatment of lymphangioma. The authors also propose laser therapy as an additional therapeutic approach that may follow surgery or sclerotherapy with the aim of improving the skin trophism and the appearance of the affected region.
淋巴管瘤是一种罕见的淋巴管良性畸形，是可通过手术治疗的淋巴管疾病之一。然而，由于周围结构的损伤以及由于邻近器官浸润导致的不完全切除和高复发率，促使人们寻求替代治疗方法。本研究旨在确定这种难以治疗的疾病的最佳治疗管理方法。
本报告描述了一名年轻女性臀部先天性淋巴管瘤的病例。首先对淋巴管瘤进行硬化治疗，然后切除残余病变。最后，作为第三个治疗步骤，患者还接受了激光治疗周期，目的是进一步改善臀部区域的外观。脉冲染料激光用于去除皮肤色素沉着异常，铒：钇-铝-石榴石激光用于去除表面不规则并获得更好的皮肤平整度。评估结果包括标准化摄影、医生的整体评估、患者满意度评分以及臀部的磁共振成像。
所有淋巴管瘤病变均被切除。最后一次激光治疗后，整个治疗区域的皮肤均呈肥胖状态，颜色均匀，触感光滑柔软。患者对所获得的临床和美学效果感到满意。
硬化治疗联合手术可能是治疗淋巴管瘤的一种很好的解决方案。作者还提出激光治疗作为一种额外的治疗方法，可在手术后或硬化治疗后使用，目的是改善受影响区域的皮肤营养状况和外观。
