title: Resection and Advancement Flap Closure of a Combined Vascular Malformation of the Mons Pubis.
abstract: BACKGROUND
  Vascular malformations are congenital abnormalities that do not spontaneously regress and may require surgical resection for treatment.
  
  
  METHODS
  A healthy 23-year-old woman presented with a painless, slowly enlarging mass of the mons pubis. Ultrasonography and magnetic resonance imaging demonstrated a cystic mass with minimal Doppler flow. The final pathology showed a combined lymphatic-venous vascular malformation. A meshed advancement flap was used to close the skin after surgical resection. These flaps create a lattice of small cutaneous defects that heal rapidly by secondary intention and optimize wound healing.
  
  
  CONCLUSIONS
  Lower genital tract vascular malformations are rare but often become symptomatic in adolescents or young women. Larger lesions may warrant surgical resection. Flap closures may aid in proper wound healing.
authors.affiliation: Department of Obstetrics and Gynecology, University Hospitals of Cleveland, Cleveland, Ohio; the Departments of Obstetrics and Gynecology and Pathology, University of Michigan, Ann Arbor, Michigan; and the Department of Obstetrics and Gynecology, University of Colorado, Denver, Colorado.
authors.forename: Lulu X
authors.initials: LX
authors.lastname: Zhao
authors.forename: Payton C
authors.initials: PC
authors.lastname: Schmidt
authors.forename: Andrew P
authors.initials: AP
authors.lastname: Sciallis
authors.forename: Christopher A
authors.initials: CA
authors.lastname: Breed
authors.forename: Hope K
authors.initials: HK
authors.lastname: Haefner
mesh_terms: D005260:Female; D006801:Humans; D013524:Surgical Flaps; D054079:Vascular Malformations / Q000601:surgery*; D014844:Vulva / Q000601:surgery*; D055815:Young Adult