Sclerotherapy with Polidocanol by Tessari Technique in a Case of Lymphangioma Circumscriptum over Axilla: A Rare Case Report

Lymphangioma circumscriptum (LC) is a congenital malformation of the lymphatics, presenting mostly before 5 years of life as grouped, asymptomatic, vesicular lesions, treated by surgical excision. For large sized LC, surgical excision is difficult and recurrences are common. Hence, conservative approaches should be explored and need documentation, which can be utilised by our colleagues for successful management of such cases. Here, we report a 13-year-old male, presenting with newly developed late-onset large sized LC lesions over the axilla, with dermoscopy showing frog-spawn-like appearance, confirmed histopathologically by presence of dilated lymphatic channels and cystic spaces containing clear, proteinaceous fluid and treated with 3% polidocanol, a sclerosant, by utilising Tessari technique.