Acquired Lymphangiectasia of the Scrotum Successfully Treated with Radiofrequency Ablation: A Case Report with Dermoscopic Review

Table 2

Reported cases of lymphangiectasia with dermoscopic findings.

Cases	Sites	Cause	Dermoscopy findings	Histopathology correlation	References
1	Breast	Breast surgery	(i) Well-circumscribed, white-yellowish lacunae surrounded by pale septa; (ii) Some lesions show scattered reddish areas and red lacunae	(i) Saccular dilations and ectatic lymphatic vessels lined by a single layer of endothelial cells in the dermis; (ii) Inclusion of blood cells within lymphatic vessels	[15] (case series)
2	Breast	Breast surgery
3	Breast	Breast surgery
4	Vulva	Surgery/radiotherapy for carcinoma of the bladder	(i) Well-demarcated, round to oval red lacunae surrounded by white areas/lines; (ii) Several punctiform and few irregular vessels		[16]
5	Scrotum	Filariasis	(i) Multiple skin-colored to erythematous nodules translucent pale blue lacunae; (ii) Few radially arranged linear irregular vessels over the nodules	(i) Pale blue lacunae represents minimal inflammatory infiltrate and normal epidermal thickness; (ii) Skin-colored or erythematous nodules represents acanthosis overlying inflammatory infiltrate which masks blue hue	[18]
Our case	Scrotum	Surgery for hydrocele	(i) Multiple, densely distributed, round to oval, yellowish-white, reddish to purplish translucent lacunae surrounded by pale septa; (ii) Few linear and punctate vessels; (iii) Reddish to brownish scattered dots and globules	(i) Dilated lymphatic vessels in the dermis; (ii) Red to purplish color due to the inclusion of blood cells within lymphatic vessels