Carbon Dioxide Laser Ablation for the Treatment of a Rare Case of Acquired Lymphangioma Circumscriptum of the Vulva in an Adult Patient.

Lymphangioma circumscriptum is a rare condition that usually affects the mouth mucosa, tongue, axilla, groin, and proximal arms and legs. Vulvar involvement is uncommon and understudied, with no standardized treatment guidelines available. Lymphangioma circumscriptum is characterized by benign dilation of lymphatic channels in the skin and subcutaneous tissues, resulting in weeping and painful vesicular-appearing growths. In this report, we present a unique case of a 50-year-old female with acquired lymphangioma circumscriptum of the vulva complicated by recurrent, painful vulvar papules. She elected for CO2 laser ablation treatment with successful cosmetic and symptomatic results. Despite the limited research and treatments available for lymphangioma circumscriptum, vulvar laser ablation appears to be a potentially safe and effective option.