Cutaneous Vascular Anomalies – Lymphangioma Circumscriptum

Lymphangioma Circumscriptum, also called superficial lymphatic malformations, is a congenital malformation of the superficial lymphatics that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices.  Clinically, Lymphangioma Circumscriptum appears as deep seated vesicles/papules and are usually present at birth.  The most common sites affected are the tongue, abdomen, axillae, and genitalia.  Treatment is very difficult as many Lymphangioma Circumsctiptum lesions have a deep seated component that must be treated to prevent recurrence.  Treatment options include excision, electrocautery and laser.