Lymphangioma Circumscriptum of the Vulva: A Case Report.

Vulvar lymphangioma circumscriptum is a rare, benign lymphatic malformation that can mimic infectious or neoplastic lesions, often leading to delayed diagnoses. This report presents the case of a 48-year-old woman who presented with a 10-year history of wart-like lesions on the vulva, causing soreness, pruritus, and an impaired quality of life. Examination revealed multiple fluid-filled papules and swelling of the left labia majora. She underwent surgical excision, and histopathology confirmed lymphangioma circumscriptum without evidence of malignancy. At 12-month follow-up, she remained asymptomatic with no recurrence. This case highlights the importance of considering lymphangioma circumscriptum in chronic vulvar lesions and demonstrates that surgical excision can provide effective symptom relief.