Lymphangioma circumscriptum in the scrotum: a case report

Abstract

Introduction: Lymphangioma circumscriptum is a rare benign skin disorder involving hamartomatous lymphatic malformation of deep dermal and subcutaneous lymphatic channels. It is a therapeutic challenge for the dermatologist when it occurs at common sites such as axilla, shoulder, groin and buttocks and a diagnostic challenge for the surgeon when it occurs at rare sites such as the scrotum. Surgical treatment is the most commonly used method to treat scrotal lymphangioma circumscriptum but there are high rates of recurrence.

Case presentation: We report the case of a 30-year-old Pakistani man who presented with scrotal swelling which was clinically misinterpreted as an infectious disorder. Later on re-resection of deeper tissue was performed to prevent recurrence. He is still being followed-up on a regular basis.

Conclusion: Awareness of the occurrence of lymphangioma circumscriptum in the scrotum in adult men without prior disease is mandatory to avoid missing the diagnosis and to ensure proper treatment.

Figure 1

Gross picture of scrotal lymphangioma circumscriptum, skin covered tissue with tiny cystic spaces.

Figure 2

Microscopic picture of lymphangioma circumscriptum with widely spaced vascular channels (hematoxylin and eosin, 20×).

Figure 3

Microscopic picture with spaces having lining of flattened endothelial cells present just beneath the skin (hematoxylin and eosin, 20×).