Massive localized lymphedema revisited: A quickly rising complication of the obesity epidemic

Karan Chopra, Kashyap K. Tadisina, Michael Brewer, Luther H. Holton, Abhishake K. Banda, Devinder P. Singh

Research output: Contribution to journalReview articlepeer-review

Abstract

Massive localized lymphedema (MLL) is a rising and potentially fatal complication of the obesity epidemic. Described as a benign lymphoproliferative overgrowth of obese patients, MLL is a form of secondary lymphedema, caused by the obstruction of lymphatic f low, with characteristic clinical and histological presentation. Patients have a large mass with classic skin changes often accompanied by lymphatic weeping that require complex reconstruction. Although oftentimes benign, if left untreated, MLL can progress to angiosarcoma, further supporting the need for more research into MLL and its sequelae. We present a unique case of MLL of the mons pubis in a 52-year-old man with a body mass index of 75.7 kg/m2. The literature was comprehensively reviewed with a total of 65 cases of MLL being described, 9 of which resulted in angiosarcoma (10.3% of all cases), 6 of which resulted in death (9.2% of all cases). We found a female predominance of 1.24 to 1, an average weight of 183 kg, and a 48.5% majority of cases in the thigh.

Original languageEnglish (US)
Pages (from-to)126-132
Number of pages7
JournalAnnals of plastic surgery
Volume74
Issue number1
DOIs
StatePublished - Jan 1 2015

Keywords

  • Angiosarcoma
  • Lymphedema of obesity
  • MLL
  • Massive localized lymphedema

ASJC Scopus subject areas

  • Surgery

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