Mixed Capillary/Lymphatic Malformation with Coexisting Port-Wine Stain: Treatment Utilizing 3D MRI and CT-Guided Sclerotherapy

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Mixed Capillary/Lymphatic Malformation with Coexisting Port-Wine Stain: Treatment Utilizing 3D MRI and CT-Guided Sclerotherapy
Issue online:
24 Dec 2001
To cite this article: M. B. Wimmershoff MD, A. G. Schreyer MD, A. Glaessl MD, A. Geissler MD, U. Hohenleutner MD, S. ST. Feuerbach MD, M. Landthaler MD (2000)
Mixed Capillary/Lymphatic Malformation with Coexisting Port-Wine Stain: Treatment Utilizing 3D MRI and CT-Guided Sclerotherapy
Dermatologic Surgery 26 (6), 584Ò587.
doi:10.1046/j.1524-4725.2000.00004.x
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M. B. Wimmershoff, MD,* *Departments of Dermatology and A. G. Schreyer, MD,‹ ‹ Radiology, University of Regensburg, Regensburg, Germany A. Glaessl, MD,* *Departments of Dermatology and A. Geissler, MD,‹ ‹ Radiology, University of Regensburg, Regensburg, Germany U. Hohenleutner, MD,* *Departments of Dermatology and S. ST. Feuerbach, MD,‹ ‹ Radiology, University of Regensburg, Regensburg, Germany and M. Landthaler, MD* *Departments of Dermatology and

M.B. Wimmershoff, MD, A.G. Schreyer, MD, A. Glaessl, MD, A. Geissler, MD, U. Hohenleutner, MD, S. St. Feuerbach, MD, and M. Landthaler, MD have indicated no significant interest with commercial supporters.

Address correspondence and reprint requests to: M. B. Wimmershoff, MD, Department of Dermatology, University of Regensburg, Franz-Josef-Strau?-Allee 11, 93042 Regensburg, Germany, or e-mail: monika.wimmershoff@klinik.uni-regensburg.de.

Abstract
Background. Lymphatic malformation, a benign malformation of the skin and the subcutaneous tissues, is divided into two major groups: the classical and the localized forms. Pathologically lymphatic malformation often consists of sequestered lymphatic cisterns with thick muscle walls lying deeply in the subcutaneous tissue. Communicating via dermal lymphatic channels with superficial pseudovesicles, they can vary in size depending on the pressure transmitted by the cisterns beneath.

Methods. We present a patient with mixed capillary/lymphatic malformation and coexisting port-wine stain since birth. To demonstrate the anatomic extent and the subcutaneous involvement we performed a 3D reconstruction of a magnetic resonance imaging (MRI). The diagnostic procedures, therapeutic possibilities, and complications regarding this rare appearance are reviewed.

Results. Good results could be obtained with CO2 laser vaporization of the superficial lesions and computed tomography (CT)-guided transcutaneous sclerotherapy for the deeper cisterns with doxycycline.

Conclusion. The combination of CO2 laser treatment and sclerotherapy with doxycycline seems to present a treatment option for cutaneous and subcutaneous lymphangioma circumscriptum with rare side effects.

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