复发性外缘淋巴管瘤:微针射频和局部西罗莫司治疗

Q3 Medicine

Journal of Cutaneous and Aesthetic Surgery Pub Date : 2023-08-04 DOI:10.4103/jcas.jcas_50_23

Neha Pralhad Deokar, B. Nikam, A. Hussain, Varsha Jamale

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引用次数: 0

摘要

局限性淋巴管瘤是一种“小细胞”淋巴管畸形。人们尝试了不同的治疗方法，取得了不同的成功。我们报告了一例复发性局限性淋巴管瘤，采用微针射频（MNRF）和局部制剂或西罗莫司乳膏治疗，效果良好。一名14岁女孩因单侧腹股沟区域出现一簇无症状的小水泡而到门诊就诊，经组织病理学证实为局限性淋巴管瘤。该患者在3年前也有类似的病变，手术切除了这些病变。自过去6个月以来，她有类似病变的复发，因此这次我们选择每40天进行一次MNRF治疗，在手术期间和手术后联合使用0.01%的局部西罗莫司。MNRF有助于新弹性体生成和新胶原生成，从而导致真皮增厚。它还通过创造真皮通道作为药物递送系统。西罗莫司具有抗淋巴管生成特性，有助于防止复发。

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Recurrent lymphangioma circumscriptum: Treated with microneedling radiofrequency and topical sirolimus

Lymphangioma circumscriptum is a “microcytic” lymphatic malformation. Different treatments have been tried with varying success. We report here a case of recurrent lymphangioma circumscriptum who was treated with microneedling radiofrequency (MNRF) and topical preparation or sirolimus cream with good improvement. A 14-year-old girl presented to outpatient department with a cluster of small asymptomatic blisters over the unilateral inguinal area which on histopathology was confirmed to be lymphangioma circumscriptum. The patient had similar lesions 3 years back which she got surgically excised. Since the last 6 months, she had a recurrence of the similar lesions so this time we chose MNRF every 40 days to treat this case which was combined with topical sirolimus 0.01% during and after the procedure. MNRF helps in neoelastogenesis and neocollagenosis, which leads to dermal thickening. It also acts as a drug delivery system by creating dermal channels. Sirolimus with its antilymphangiogenic properties helps prevent recurrence.

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来源期刊

Journal of Cutaneous and Aesthetic Surgery Medicine-Surgery

CiteScore

1.10

自引率

0.00%

发文量

审稿时长

29 weeks

期刊介绍： The journal will cover aspects of Dermatosurgery and Aesthetic surgery, including cutaneous surgical procedures, lasers, light based treatments and aesthetic treatments. Authors of articles addressing topics such as skin tumours, pigmentary disorders, histopathology, diagnostic techniques, drugs, applications of cosmeceuticals surgical aspects, including pre and post procedural care are highly encouraged to submit with us. The journal also publishes articles on topics in allied specialities suh as plastic surgery, maxillofacial surgery vascular surgery, oculoplastic surgery etc. that are relevant to Dermatosurgery. The journal gives preference to clinically oriented studies over experimental and animal studies. The Journal would publish peer-reviewed Original Research Articles, Systematic reviews, Narrative Reviews, Case reports, Innovations and Debates. Letters to the editor, practice points, pearls in cutaneous and aesthetic surgery, quiz page, images, novel techniques, newer uses of instruments and video presentations and ethical aspects of cutaneous and aesthetic surgery are also invited.