Lymphangioma circumscriptum is a congenital lymphatic malformation that results in gradual dilatation of lymphatic vessels and development of lymphatic cisterns. The treatment of choice is radical surgery. Other treatment methods including cryotherapy, sclerosing agent injections, radiation therapy and CO2 laser were suggested. We report successful treatment of a I4-year-old boy affected with lymphogioma with CO2 laser.      

Orbital lynphangioma is a low-flow or no-flow vascular malformation. It is a congenital and isolated hemodynamic lesion in which the clinical presentation and onset are related to orbital, peri-orbital or intracranial involvement. In addition, history of previous trauma and upper respiratory tract infection are important predictor factors. High resolution MRI, Doppler ultrasound and CT-scan are useful for diagnosis. Observation is the preferred method of management except for lesions with visual loss and cosmetic problems. Treatment methods depend on individual clinical and paraclinical manifestations of each patient.

Purpose: To report a case of lymphangioma in the lacrimal gland. Case Report: A 6-year old boy with acute proptosis and inferonasal displacement of the globe was referred. In CT-Scan revealed a heterogenous enlargement of the lacrimal gland. Steroid therapy did not lead to a significant improvement. During surgical exploration, a dark black liquid was extracted from the site of the lacrimal gland and pathology confirmed lymphangioma of the lacrimal gland. Clinical signs and symptoms improved after surgery and no recurrence has occurred up to one year. Conclusion: Lymphangioma must be considered as a differential diagnosis in acute enlargement of the lacrimal gland especially in a child or young patient.

Lymphangioma circumscriptum is a benign lymphatic malformation which is localized to the skin and subcutaneous tissues. It consists of dilated lymph channels lined by normal endothelium.Primary vulvar involvement is very rare and only 28 cases have been reported till 2002. Here we report a case in an 18 years old girl who was referred to our gynecologic clinic with symptoms of pain,swelling and erythema of both labia majors of 5 years duration. She had taken various drugs but all had failed and the lesion was exterminated only after wide local excision surgery. Histological examination revealed multiple dilated vascular channels with an inflammatory infiltrate in papillary dermis and diagnosis of vulvar lymphangioma circumscriptum was made. After ten months follow up, there was no evidence of recurrence. Wide local excision may be the best treatment for extensive vulvar lymphangioma circumscriptum