Lymphatic malformation of the vulva

Case contributed by Ashesh Ishwarlal Ranchod

Presentation

The patient presented with a recently noticed right labial mass.

Patient Data

Age: 2 years
Gender: Female

There is a serpiginous, lobulated right labial mass lesion. The lesion appears mildly dense on pre-contrast imaging, with a subtle low density and cystic appearance post contrast administration. The lesion is completely extrapelvic. There is no calcification.There Is perilesional induration. There are no hepatic, no lymphatic, no osseus or thoracic metastases.

Reformats confirm complete extrapelvic presentation and right labial involvement.

There is no regional bony infiltration, no congenital sacral abnormality.