Classic Herbal Formulas Combined with Surgery for Large Acquired Lymphangioma of the Vulva:A Case Report
A 53-year-old female presented with a history of finding vulva mass with exudate for more than 7 years.Physical examination showed diffuse redness,swelling and exudation of the vulva,ranging from 25 cm × 15 cm.Scattered or dense papules and nodules were seen,which were millet to mung bean sized,complexional or dark red,round or oval,verrucous or"frog spawn"like.A few of them presented with smooth or ulcerated surface,involving bilateral labia majora.Presenting cystic,tenderness(+)and exudation were seen on palpation.Pathological examination showed lymphatic hyperplasia with cystic dilatation.Lymphangioma was diagnosed.Wulingsan and Fangji Huangqi Decoction were used to adjust the physique,control the exudation and shrink the tumor.After the treatment,the patient was clinically cured by surgery,and no recurrence was found in the follow-up.