A patient presents with this lesion shown in the image. Which of the following are true?

A.) The patient has lymphangioma circumscriptum.
B.) The patient likley will develop renal and cardiac failure.
C.) The patient should be refered for genetic counceling for accumulation of glycosphingolipids.
D.) An excisional biopsy should be taken
E.) They are commonly related to trauma and require no further work up.