EDİNSEL LENFANJEKTAZİ: OLGU SUNUMU (LENFANJİOMA SİRKUMSKRİPTUMDAN AYIRICI TANISINDA BELİRLEYİCİ ÖZELLİKLER)

Yıl 2007, Cilt: 20 Sayı: 1, 43 - 46, 25.06.2015

Ahmet Midi , Özge Ayabakan Aydın Sav

Öz

Edinsel lenfanjektazi skar oluşumuna bağlı oluşan, yüzeyel lenfatiklerin dilatasyonu ile karakterize bir
lezyondur. Sıklıkla yetişkinlerde radyoterapi ve cerrahi işlemimin geç komplikasyonu olarak ortaya çıkar ve
histolojik olarak lenfangioma sirkumskriptumdan ayrılması zordur. Hastalarda genellikle radyoterapi
uygulanan ya da uygulanmayan cerrahi işlemden yıllar sonra kronik lenfödematöz bölgede çok sayıda şeffaf
veziküller oluşur. Biz cerrahi işlemden 17 yıl sonra oluşan bir edinsel lenfanjektazi olgusu sunmaktayız.
Lezyonlar sol subaksiller bölge yerleşimliydi. Olgumuz literatürde operasyon sonrası bu kadar geç evrede
oluşan ilk yayın olma özelliği taşımaktadır.
Anahtar Kelimeler: Lenfanjektazi, Edinsel,

Anahtar Kelimeler

Lenfanjektazi, Edinsel, Lenfanjioma sirkumskriptum

Kaynakça

• 1. Levers’s histopathology of the skin. Ninth edition.Calonje E, Jones EW, 2005-Philadelphia;1047.
• 2. Ambrojo P, Cogolluda EF, Aguilar A, Sanchez Yus E, Sanchez de Paz F. Cutaneous lymphangiectases after therapy for carcinoma of the cervix a case with unusual clinical and histological features. Clin Exp Dermatol 1990; 15:57-59.
• 3. Celis, AV, Gaughf CN, Sangueza, OP, Gourdin, FW. Acquired lymphangiectasis. South Med J 1999; 92:69- 72.
• 4. Kaya TI, Kokturk A, Polat A, Tursen U, Ikizoglu G. A case of cutaneous lymphangiectasis secondary to breast cancer treatment. Int J Dermatol. 2001; 40:760-761.
• 5. Giannelli V, Rockley, PF. Acquired lymphangiectasis following mastectomy and radiation therapy--report of a case and review of the literature. Cutis 1996; 58:276- 278.
• 6. Mallett RB, Curley GK, Mortimer PS. Acquired lymphangioma: report of four cases and a discussion of the pathogenesis. Br J Dermatol 1992; 126:380-382.
• 7. Tuffanelli DL. Letter: Lymphangiectasis due to scleroderma. Arch Dermatol 1975; 111:1216.
• 8. Mortimer PS, Simmonds RH, Rezvani M, Robbins ME, Ryan TJ, Hopewell JW. Time-related changes in lymphatic clearance in pig skin after a single dose of 18 Gy of X rays. Br J Radiol 1991; 64:1140-1146.
• 9. Weingold DH, White PF, Burton CS. Treatment of lymphangioma circumscriptum with tunable dye laser. Cutis 1990; 45:365-366.
• 10. Eliezri YD, Sklar JA. Lymphangioma circumscriptum: review and evaluation of carbon dioxide laser vaporization. J Dermatol Surg Oncol 1988; 14:357-364.
• 11. Bailin PL, Kantor GR, Wheeland RG. Carbon dioxide laser vaporization of lymphangioma circumscriptum. J Am Acad Dermatol 1986; 14:257-262.
• 12. Tasdelen I, Gokgoz S, Paksoy E, et al. Acquired lymphangiectasis after breast conservation treatment for breast cancer: report of a case. Dermatol Online J 2004; 10:9-13.
• 13. Peachey RDG, Lim CC, Whimster JW. Lymphangioma of the skin: a review of 65 cases. Br J Dermatol 1970; 83:519-527.
• 14. Ziv R, Schewach-Miller M, Trau U. Lymphangiectasia. A complication of thoracotomy for bronchial carcinoid. Int J Dermatol 1988; 27:123-126.
• 15. Di Leonardo M, Jacoby RA. Acquired cutaneous Lymphangiectasia secondary to scarring from scrofuloderma. J Am Acad Dermatol. 1986; 14:688-690.
• 16. Garcia-Doval I, de la Torre C, Losada A, Ocampo C, Rodriguez T, Cruces MJ. Acquired cutaneous lymphangiectasia in a patient with cirrhotic ascites. J Eur Acad Dermatol Venereol 1999; 13:109-112.
• 17. Jappe U, Zimmermann T, Kahle B, Peyzoldt D. Lymphangioma circumscriptum of the vulva following surgical and radiological therapy of cervical cancer. Sex Transm Dis 2002; 29:533-535
• 18. Abu-Hamad A, Provencher D, Ganjei P, Penalver M. Lymphangioma circumscriptum of the vulva: case report and review of the literature. Obstet Gynecol 1989; 73:496-499.
• 19. Huilgol SC, Neill S, Barlow RJ. CO(2) laser therapy of vulval lymphangiectasia and lymphangioma circumscriptum. Dermatol Surg 2002; 28:575-577.