TY - JOUR
T1 - Massive localized lymphedema
T2 - Review of an emerging problem and report of a complex case in the mons pubis
AU - Brewer, Michael B.
AU - Singh, Devinder P.
PY - 2012/1/1
Y1 - 2012/1/1
N2 - Massive localized lymphedema (MLL) is an emerging complication of the obesity epidemic. Caused by the obstruction of lymphatics, MLL presents as a giant swelling, with characteristic skin changes, and often lymphatic weeping. MLL has also been called "pseudosarcoma" because of its morphologic and pathologic similarity to sarcoma. Left untreated, MLL can degenerate into angiosarcoma. We present a case of MLL of the mons pubis in a 40-year-old man with a body mass index of 69. The literature is reviewed and an additional 40 cases of MLL are described. We found a female predominance of 1.6 to 1, an average weight of 421 lbs, and a 58% majority of cases in the thigh.
AB - Massive localized lymphedema (MLL) is an emerging complication of the obesity epidemic. Caused by the obstruction of lymphatics, MLL presents as a giant swelling, with characteristic skin changes, and often lymphatic weeping. MLL has also been called "pseudosarcoma" because of its morphologic and pathologic similarity to sarcoma. Left untreated, MLL can degenerate into angiosarcoma. We present a case of MLL of the mons pubis in a 40-year-old man with a body mass index of 69. The literature is reviewed and an additional 40 cases of MLL are described. We found a female predominance of 1.6 to 1, an average weight of 421 lbs, and a 58% majority of cases in the thigh.
KW - MLL
KW - Massive localized lymphedema
KW - angiosarcoma
KW - lymphedema of obesity
UR - http://www.scopus.com/inward/record.url?scp=84855196847&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84855196847&partnerID=8YFLogxK
U2 - 10.1097/SAP.0b013e318211910e
DO - 10.1097/SAP.0b013e318211910e
M3 - Review article
C2 - 21629105
AN - SCOPUS:84855196847
SN - 0148-7043
VL - 68
SP - 101
EP - 104
JO - Annals of plastic surgery
JF - Annals of plastic surgery
IS - 1
ER -