Benign Lymphangioendothelioma Treatment & Management

Updated: Aug 31, 2018
  • Author: Donald Shenenberger, MD, FAAD, FAAFP; Chief Editor: Dirk M Elston, MD  more...
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Treatment

Medical Care

No medical care is required for benign lymphangioendothelioma (BLAE).

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Surgical Care

Once the diagnosis is established, no treatment is necessary. Solitary nodules can be excised; occasionally, local recurrence is observed. If more extensive patches and plaques are cosmetically disturbing but too large to excise, they can be treated with a laser. However, because benign lymphangioendothelioma is relatively free of blood, the usual absorption characteristics that are importance in hemangiomas and vascular malformations are less important, and an individually tailored approach with test areas is recommended.

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Consultations

Because of the rarity of BLAE, many dermatopathologists or surgical pathologists may seek additional evaluation of the specimen from other pathologists. Additionally, appropriate consultations as necessary for surgical treatment.

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Complications

Complications are usually only those associated with surgery and laser treatment, such as scarring and pigmentary change.

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Long-Term Monitoring

Because of the histologic confusion at times between BLAE, angiosarcoma, and Kaposi sarcoma, annual follow-up to assess for recurrence is recommended.

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