Image Gallery: Acquired cutaneous lymphangiectasia secondary to rectal cancer treatment

Funding sources: none. Conflicts of interest: none to declare. Dear Editor, A 64‐year‐old man presented with a 6‐month history of multiple nodules on his abdomen, penis and scrotum (a, b). The patient was also experiencing swelling of the lower extremities. He underwent abdominoperineal resection, radiation therapy and permanent colostomy for rectal cancer 4 years ago. The biopsy demonstrated dermal thin‐walled dilated vascular channels surrounded by hyalinized collagen (c; original magnification × 100). The ectatic vessels were labelled with antibody D2‐40 (d; original magnification × 100). A diagnosis of acquired cutaneous lymphangiectasia was made. There was no lymphadenopathy, nor were there systemic symptoms, and positron emission tomography revealed no abnormalities. Acquired cutaneous lymphangiectasia is a rare condition that represents cutaneous manifestation of lymphatic obstruction secondary to surgical intervention and radiation therapy for malignancies, mostly reported as breast, endometrial and ovarian cancers.1 2