Korean J Dermatol.  2020 Sep;58(8):543-546.

A Case of Localized Lymphedema of the Vulva Mimicking a Fibrous Tumor

• Lee SB
• Heo JH
• Yoon HS
• Lee SH
• Shin J
• Choi GS
• Byun JW

Abstract

Lymphedema refers to inflammation that occurs in a part of the body owing to impaired lymphatic transport. Lymphedema arises as a consequence of a malformation or malfunction of the lymphatic system. It commonly occurs on the face, vulva, and penis and can cause superficial lesions known as lymphangiectasia. Common presenting symptoms include pain, pruritus, oozing of lymphatic fluid, sexual dysfunction, and infection. Prolonged lymphedema can lead to fibrosis and epidermal hyperplasia with verrucous hyperkeratosis. In rare cases, the lymphedema may mimic a skin tumor. We report the case of a 69-year-old woman who presented with erythematous oozing papules and hard nodules on the vulva, which mimicked a fibrous tumor.

Keyword

Localized lymphedema; Vulvar fibromatosis; Vulvar hypertrophy