Surgical extraction of an unusual macrocystic lymphatic malformation in the buttock: case report

Abstract Background Macrocystic lymphatic malformation is a rare benign skin disorder, especially the anogenital area, which covers less than .5% of the reported cases. It can cause vesicular and papular lesions on the face, trunk, extremities, and, less frequently, anogenital areas. Although there...

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Autores principales: Francisco Antonio Rodríguez-García, Cuauhtly Gallegos-Sierra, José Luis Villarreal-Salgado, Karla Jimenez-Pavon, Karen Morfin-Meza, Joel Ramos-Maciel, Diego Armando Fierro-Rodríguez, Enrique Romero-Algara, Pablo Bonilla-Catalán, Emmanuel Dorado-Hernández, Quitzia Libertad Torres-Salazar
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spelling oai:doaj.org-article:bff34ebe25e94c0d9f3488ec8dd83cc52021-12-05T12:16:34ZSurgical extraction of an unusual macrocystic lymphatic malformation in the buttock: case report10.1186/s43159-021-00133-42090-5394https://doaj.org/article/bff34ebe25e94c0d9f3488ec8dd83cc52021-12-01T00:00:00Zhttps://doi.org/10.1186/s43159-021-00133-4https://doaj.org/toc/2090-5394Abstract Background Macrocystic lymphatic malformation is a rare benign skin disorder, especially the anogenital area, which covers less than .5% of the reported cases. It can cause vesicular and papular lesions on the face, trunk, extremities, and, less frequently, anogenital areas. Although there are currently several therapeutic options, surgical excision is the most widely used, considering the lowest recurrence rate. Case presentation In this article, we describe the case of a 15-year-old male patient who presented with herpetiform skin lesions, corresponding to the diagnosis of macrocystic lymphatic malformation, in the lower region of the right buttock. After confirmation of the diagnosis by histopathology, surgical excision was performed with a tensor fascia lata graft, with successful aesthetic and functional results. Conclusions Considering the diagnosis of macrocystic lymphatic malformation is of utmost importance, although its presence is unusual, to differentiate it from other herpetiform lesions. Despite the existence of multiple approaches today, definitive treatment with surgical extraction is necessary, both to improve the cosmetic aspect and to prevent associated complications. It is suggested that histopathological and imaging diagnostic tools be used as a routine element, in order to increase therapeutic success, as well as decrease the risk of recurrences. Evidence-based medicine ranking Level IVFrancisco Antonio Rodríguez-GarcíaCuauhtly Gallegos-SierraJosé Luis Villarreal-SalgadoKarla Jimenez-PavonKaren Morfin-MezaJoel Ramos-MacielDiego Armando Fierro-RodríguezEnrique Romero-AlgaraPablo Bonilla-CatalánEmmanuel Dorado-HernándezQuitzia Libertad Torres-SalazarSpringerOpenarticleLymphangiomaLymphangioma circumscriptumMacrocystic lymphatic malformation surgeryCase reportPediatricsRJ1-570SurgeryRD1-811ENAnnals of Pediatric Surgery, Vol 17, Iss 1, Pp 1-7 (2021)
institution DOAJ
collection DOAJ
language EN
topic Lymphangioma
Lymphangioma circumscriptum
Macrocystic lymphatic malformation surgery
Case report
Pediatrics
RJ1-570
Surgery
RD1-811
spellingShingle Lymphangioma
Lymphangioma circumscriptum
Macrocystic lymphatic malformation surgery
Case report
Pediatrics
RJ1-570
Surgery
RD1-811
Francisco Antonio Rodríguez-García
Cuauhtly Gallegos-Sierra
José Luis Villarreal-Salgado
Karla Jimenez-Pavon
Karen Morfin-Meza
Joel Ramos-Maciel
Diego Armando Fierro-Rodríguez
Enrique Romero-Algara
Pablo Bonilla-Catalán
Emmanuel Dorado-Hernández
Quitzia Libertad Torres-Salazar
Surgical extraction of an unusual macrocystic lymphatic malformation in the buttock: case report
description Abstract Background Macrocystic lymphatic malformation is a rare benign skin disorder, especially the anogenital area, which covers less than .5% of the reported cases. It can cause vesicular and papular lesions on the face, trunk, extremities, and, less frequently, anogenital areas. Although there are currently several therapeutic options, surgical excision is the most widely used, considering the lowest recurrence rate. Case presentation In this article, we describe the case of a 15-year-old male patient who presented with herpetiform skin lesions, corresponding to the diagnosis of macrocystic lymphatic malformation, in the lower region of the right buttock. After confirmation of the diagnosis by histopathology, surgical excision was performed with a tensor fascia lata graft, with successful aesthetic and functional results. Conclusions Considering the diagnosis of macrocystic lymphatic malformation is of utmost importance, although its presence is unusual, to differentiate it from other herpetiform lesions. Despite the existence of multiple approaches today, definitive treatment with surgical extraction is necessary, both to improve the cosmetic aspect and to prevent associated complications. It is suggested that histopathological and imaging diagnostic tools be used as a routine element, in order to increase therapeutic success, as well as decrease the risk of recurrences. Evidence-based medicine ranking Level IV
format article
author Francisco Antonio Rodríguez-García
Cuauhtly Gallegos-Sierra
José Luis Villarreal-Salgado
Karla Jimenez-Pavon
Karen Morfin-Meza
Joel Ramos-Maciel
Diego Armando Fierro-Rodríguez
Enrique Romero-Algara
Pablo Bonilla-Catalán
Emmanuel Dorado-Hernández
Quitzia Libertad Torres-Salazar
author_facet Francisco Antonio Rodríguez-García
Cuauhtly Gallegos-Sierra
José Luis Villarreal-Salgado
Karla Jimenez-Pavon
Karen Morfin-Meza
Joel Ramos-Maciel
Diego Armando Fierro-Rodríguez
Enrique Romero-Algara
Pablo Bonilla-Catalán
Emmanuel Dorado-Hernández
Quitzia Libertad Torres-Salazar
author_sort Francisco Antonio Rodríguez-García
title Surgical extraction of an unusual macrocystic lymphatic malformation in the buttock: case report
title_short Surgical extraction of an unusual macrocystic lymphatic malformation in the buttock: case report
title_full Surgical extraction of an unusual macrocystic lymphatic malformation in the buttock: case report
title_fullStr Surgical extraction of an unusual macrocystic lymphatic malformation in the buttock: case report
title_full_unstemmed Surgical extraction of an unusual macrocystic lymphatic malformation in the buttock: case report
title_sort surgical extraction of an unusual macrocystic lymphatic malformation in the buttock: case report
publisher SpringerOpen
publishDate 2021
url https://doaj.org/article/bff34ebe25e94c0d9f3488ec8dd83cc5
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