Surgical Treatment of an Extensive Lesion of Lymphangioma Circumscriptum of the Vulva

Abstract

A 52 years old postmenopausal female patient was admitted because of inability to have coitus due to a lesion in her vulva. It was found that despite various modes of therapy given to the patient who had had the same complaint for ten years, the lesion had enlarged. The couple also stressed that they had problems in their normal social life because of their impaired sexual life. The clinical appearance suggested the presence of a case of lymphangioma circumscriptum. This diagnosis was confirmed by biopsy studies. Total vulvectomy was performed with the removal of the deep subcutaneous fat tissue. No reccurence was observed over a follow up period of two years. The present study aims to demonstrate that extensive surgical treatment might be successful in cases in terms of preventing reccurence, when this lesion infrequently occurs in the vulva in an extensive fashion; and the patient gains the ability of having normal sexual life. (Thai J Obstet Gynaecol 1995;7:81-84.)