RESECTION OF LYMPHATIC MALFORMATION OF THE SCROTUM

Lymphatic malformations, more commonly known as lymphangiomas, are uncommon hamartomas that have varied presentations. Cutaneous lymphatic malformations often appear in the region o f the neck and axilla, breasts and chest, and buttocks and thighs, but they can affect almost any area of skin.1 The lesions appear clinically as multiple, small, vesicle-like, white to purple lesions or as small, wartlike lesions scattered over an area of skin.2 The vesiclelike appearance is caused by enlarged lymph vessels elevating the epidermis. Many o f these tumors are easily recognized and have a predictable course; the superficial tumors, frequently referred to as lymphangioma circumscriptum, however, have a natural history that is less clear. Though these lesions are benign and have no propensity for degeneration, the chronicity of symptoms such as drainage, discomfort, and infection may be a cause for radical treatment. We report a case o f cutaneous lymphangioma o f the scrotum with lengthy delay in diagnosis that was treated successfully with total excision to the deep fascial layer. © 1994 American Society of Plastic Surgeons.