{"paper_id":"c3cc887c-59cc-41e7-b8cc-e8fae34f7410","body_text":"Umbilical Cutaneous Endometriosis: Case Report\nAbstract\nEndometriosis is characterized by the presence of ectopic implantation of endometrial tissue, normally functioning and hormone-sensitive. Extrapelvic involvement can occur in about 12% of women with the condition. Umbilical endometriosis has been reported to account for about 0.4% to 4.0% of all endometriosis and 30% to 40% of cases of cutaneous endometriosis. It is a rare case of a disease that presents important differential diagnosis with other umbilical papular disorders, which may be primary or secondary, neoplasic or inflammatory. This paper reports the case of a patient with no comorbidities, with a diagnosis of umbilical cutaneous endometriosis, based on anamnesis, clinical and histopathological examination, showing a good evolution after complete excision of the lesion. The definitive diagnosis is based on histopathology, but immunohistochemistry may be helpful as well as abdomen ultrasound, computed tomography and magnetic resonance imaging. Surgical management is the preferred treatment.\nDownloads\nReferences\nSteck WD, Helwig EB. Cutaneous endometriosis.\nJAMA. 1956; 191: 167-70.\nFernández-Aceñero MJ, Córdova S. Cutaneous endometriosis:\nreview of 15 cases diagnosed at a single\ninstitution. Arch Gynecol Obstet. 2011; 283:1041-4.\nAgarwal A, Fong YF. Cutaneous endometriosis. Singapore\nMed J. 2008; 49:704-9.\nChoi SW, Lee HN, Kang SJ, Kim HO. A case of cutaneous\nendometriosis in postmenopausal woman receiving\nhormonal replacement. J Am Acad Dermatol.\n; 41:327-9.\nLoh S-H, Lew B-L, Sim W-Y. Primary cutaneous endometriosis\nof umbilicus. Ann Dermatol. 2017; 29:621-\nPramanik SR, Mondal S, Paul S, Joycerani D. Primary\numbilical endometriosis: A rarity. J Hum Reprod Sci.\n; 7: 269–71.\nVan den Nouland D, Kaur M. Primary umbilical endometriosis:\na case report. Facts Views Vision Obgyn.\n; 9:115-9.\nLopes Mattos S, Pereira Christo AG. Primary umbilical\nendometriosis. Surg Cosmet Dermatol. 2015; 7(3\nSuppl 1):S43-6.\nFernández Vozmediano JM, Armario Hita JC, Cuevas\nSantos J. Cutaneous endometriosis. Int J Dermatol.\n; 49: 1410-2.\nKaya BA, Emrah C, Cem K, Serel S. Cutaneous endometriosis.\nRev Bras Cir Plást. 2012; 27: 493-5.\nKocher M, Hardie A, Schaefer A, McLaren T, Kovacs\nM. Cesarean-section scar endometrioma: a case report\nand review of the literature. J Radiol Case Rep.\n; 11:16-26.\nTidman MJ, MacDonald DM. Cutaneous endometriosis:\na histopathologic study. J Am Acad Dermatol.\n; 18:373-7.\nJaime TJ, Jaime TJ, Ormiga P, Leal F, Nogueira OM,\nRodrigues N. Endometriose umbilical: relato de um\ncaso e seus achados dermatoscópicos. An Bras Dermatol.\n;88:101-4.\nTerada S, Miyata Y, Nakazawa H, Higashimori T, Arai\nT, Kikuchi Y, et al. Immunohistochemical analysis of an\nectopic endometriosis in the uterine round ligament.\nDiagn Pathol. 2006;1:27.\nAll articles in this journal are Open Access under the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0).","source_license":"CC0","license_restricted":false}