A Case Report of Lymphangioma Circumscriptum on Scalp.

Lee, Dong Gwan; Shin, Hea Kyeong; Seoul, Jung Hyun; Choi, Jun

Case Report

Journal of Korean Cleft Palate-Craniofacial Association 2008;9(1):38-40.

Dong Gwan Lee, Hea Kyeong Shin, Jung Hyun Seoul, Jun Choi

Department of Plastic & Reconstructive Surgery, Dongguk University College of Medicine, Gyungju, Korea. Shinheakyeong@hanmail.net

Abstract

PURPOSE
Lymphangioma circumscriptum is a rare, congenital benign hamartous malformation, caused by the saccular dilatation of lymph channels lines by normal, single cell, lymphatic endothelia that present as local eruptions of persistent, grouped, translucent vesicles. The lymphangioma circumscriptum lesions may occur on axillary fold shoulder, neck proximal limbs and buccal mucosa. We reported a rare case of lymphangioma circumscriptum on the scalp. METHODS: A 15-year-old girl with a 5x3cm sized lymphangioma circumscriptum on scalp was examined. It was defined a boundry by ultrasound. And then, a tissue crescent type expander with 120cc normal saline was inserted on occipital area for a month. After confirmed safety margin of the excised lymphangioma circumscriptum on frozen biopsy and the scalp flap was elevated and covered with empty space.
RESULTS
A histopathologic finding revealed that lymphangioma circumscriptum. During 11 months follow up, no relapse was found.
CONCLUSION
We described a rare case of lymphangioma circumscriptum on scalp. By using a tissue expander and excision, we achieved no recurrence and aesthetically satisfactory outcome.

Keywords: Lymphangioma circumscriptum