Shrestha Smriti, Shrestha Riyaz, Manandhar Manindra
Drs. Shrestha, Shrestha and Manandhar are with Dhulikhel Hospital at Kathmandu University in Dhulikhel, Kavrepalanchok, Nepal.
J Clin Aesthet Dermatol. 2020 Aug;13(8):45-48. Epub 2020 Aug 1.
We present two cases of lymphangioma circumscriptum (LC) that demonstrated characteristics of half-and-half lacunae or hypopyon sign in dermoscopy. The first case was that of a 19-year-old female patient with localized lymphangioma since childhood, presenting with continuous oozing of blood and fluid from the lesion. The second patient presented with extensive disease with verrucous growths and clear vesicles over the right chest wall. Both patients reported an impact on their quality of life due to constant oozing of the lesions. The magnetic resonance imaging showed depth and extent in localized versus extensive forms of the same condition. A lipectomy was performed on both patients to destroy subcutaneous connecting lymphatics, which caused significant symptomatic improvement in oozing of blood and fluid, which had been present since childhood in both patients. However, we observed a recurrence in the second patient after six months.
我们报告了两例局限性淋巴管瘤（LC），其在皮肤镜检查中表现出半对半腔隙或积脓征的特征。第一例是一名19岁女性患者，自幼患有局限性淋巴管瘤，病变处持续渗血和渗液。第二例患者右侧胸壁出现广泛病变，有疣状增生和清亮水疱。两名患者均报告称，由于病变持续渗液，对其生活质量产生了影响。磁共振成像显示了同一病症局限性和广泛性形式的深度和范围。对两名患者均进行了脂肪切除术，以破坏皮下连接淋巴管，这显著改善了两名患者自幼就出现的渗血和渗液症状。然而，我们观察到第二例患者在六个月后复发。
