Sasaki Ryosuke, Negishi Kei, Akita Hirotaka, Suzuki Kayoko, Matsunaga Kayoko
Department of Dermatology, Kariya Toyota General Hospital, Kariya, Japan ; Department of Dermatology, Fujita Health University School of Medicine, Toyoake, Japan.
Aoyama Institute of Women's Medicine, Tokyo Women's Medical University, Tokyo, Japan.
Case Rep Dermatol. 2014 Jan 8;6(1):1-4. doi: 10.1159/000358006. eCollection 2014 Jan.
A 16-year-old girl presented with a 9-year history of vesicles on the vulva. She had initially taken a wait-and-see approach, but required treatment because of bleeding. Histological examination of a biopsied vesicle revealed dilated lymph channels in the upper dermis, suggesting lymphangioma circumscriptum (LC). The challenge for this pathology has been to find a conservative treatment with low morbidity and better results than those reported for surgical excision, which has been the mainstay of therapy. In this case, LC of the vulva was successfully treated using a 10,600-nm CO2 laser and long-pulsed Nd:YAG laser. Use of the 10,600-nm CO2 laser and long-pulsed Nd:YAG laser appeared effective for treating LC.
一名16岁女孩有9年的外阴水疱病史。她最初采取了观望态度，但因出血而需要治疗。对一个活检水疱进行组织学检查发现真皮上层淋巴管扩张，提示为局限性淋巴管瘤（LC）。这种病理学面临的挑战是找到一种发病率低且效果优于手术切除（手术切除一直是主要治疗方法）的保守治疗方法。在这个病例中，外阴LC通过使用10600纳米的二氧化碳激光和长脉冲钕：钇铝石榴石激光成功治愈。使用10600纳米的二氧化碳激光和长脉冲钕：钇铝石榴石激光似乎对治疗LC有效。
