Verrucous localized lymphedema of genital areas: clinicopathologic report of 18 cases of this rare entity.

Abstract:

BACKGROUND:Localized lymphedema is a nonneoplastic condition associated with obesity and predominantly involving the legs. This condition has distinctive clinical and histologic features and only rarely has been mentioned in the dermatologic literature. OBJECTIVE:We sought to evaluate the clinical and histopathologic features. METHODS:The clinicopathologic features in patients with localized lymphedema of the genital region were studied. RESULTS:We identified 18 patients with localized lymphedema clinically presenting as large polypoid or verrucous lesions. The patients were 5 men and 13 women with a mean age of 46.5 years. Twelve patients were obese at diagnosis. Thirteen patients presented with tumors involving the vulva, 4 patients with tumors in the penis and scrotum, and 1 patient with scrotal and pubic lesions. Histologically, all cases showed marked dermal edema along with dilated lymphatic spaces, fibroplasia, and verrucous epidermal changes (papillomatous and hyperplastic epidermis). LIMITATIONS:Only 18 cases were included in our study. CONCLUSIONS:This condition is an uncommon and recently described entity that could potentially be clinically and histologically misdiagnosed as a neoplasm; thus, it needs to be included in the differential diagnosis of polypoid and verrucous skin tumors with extensive dermal edema and fibroplasia.

journal_name

J Am Acad Dermatol

authors

Plaza JA,Requena L,Kazakov DV,Vega E,Kacerovska D,Reyes G,Michal M,Suster S,Sangueza M

doi

10.1016/j.jaad.2014.01.907

subject

Has Abstract

pub_date

2014-08-01 00:00:00

pages

320-6

issue

2

eissn

0190-9622

issn

1097-6787

pii

S0190-9622(14)01045-7

journal_volume

71

pub_type

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