Umbilical Endometriosis Disguised by Seborrheic Keratosis on Punch Biopsy

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AI-generated summary by gemini-2.5-flash-lite, 2026-06-07

This case highlights how epidermal changes resembling seborrheic keratosis can obscure umbilical endometriosis, necessitating careful examination and biopsy for accurate diagnosis.

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Abstract

ABSTRACT: Endometriosis is a benign condition of the female genital system, characterized by endometrial tissue external to the uterine cavity. Of all cases with endometriosis, the incidence of umbilical endometriosis is only 0.29%. Umbilical endometriosis typical presents with symptoms including cyclical pain, bleeding, and swelling of the nodule. Morphological changes in the epidermis, as in this case, simulating a seborrheic keratosis both clinically and microscopically, can initially mask the underlying endometriosis and prolong the course of treatment. A thorough anamnesis and examination revealing the characteristic symptoms and findings coupled with a representative biopsy is essential to correctly diagnose umbilical endometriosis.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Keratosis, Seborrheic Umbilicus Biopsy Diagnosis, Differential Endometriosis Endometriosis Female Humans Keratosis, Seborrheic Umbilicus

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europepmc
last seen: 2026-08-15T06:15:18.721777+00:00
openalex
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pubmed
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License: CC0 · commercial use OK