Spontaneous endometriosis in an umbilical skin lesion.
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Abstract
Cutaneous endometriosis of the umbilicus is an unusual condition with unclear pathogenetic mechanisms that might be mistaken for a malignant condition. A 46-year-old woman presented with a cutaneous black mass in the umbilicus. The lesion was removed surgically and histological analyses revealed that it consisted of endometrial tissue. There was no recurrence at 18-month follow-up. Endometriosis of the umbilicus is a rare condition and the pathogenesis is not completely elucidated. According to one theory, intraperitoneal endometrial tissue is translocated during endoscopic surgery or other surgical procedures that involve the umbilicus. However, in this case there was no history of abdominal wall surgery. We conclude that endometriosis is important to consider in cases of unclear skin lesions of the umbilicus, even in cases with no previous abdominal surgery. Moreover, umbilical endometriosis of the skin can have different appearances that resemble malignant tumors, and radical surgery with histology is therefore indicated.
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- Primary Umbilical Endometriosis in an Adolescent Girl: Unsuspected Pathology 2020
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- Clinical practice guidelines for the treatment of extragenital endometriosis in Japan, 2018 2020
- The Link Between Stress and Endometriosis: from Animal Models to the Clinical Scenario 2020
- Extrapelvic Endometriosis: A Systematic Review 2019
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- History of Tumors of the Umbilicus 2017
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- Cesarean Scar Endometriosis: An Uncommon Surgical Complication on the Rise? Case Report and Literature Review 2017
- Spontaneous endometriosis associated with an umbilical hernia 2016
- Catamenial Pain in Umbilical Hernia with Spontaneous Reduction: An Unusual Presentation of a Rare Entity 2015
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- Umbilical endometriosis associated with large umbilical hernia. Case report. 2014
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- Obstetric Scar Endometriosis: Retrospective Study on 19 Cases and Review of the Literature 2014
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- Recurrence of primary umbilical endometriosis:case report and review of the literature 2013
- Diagnostic value of susceptibility-weighted imaging of abdominal wall endometriomas during the cyclic menstrual changes: A preliminary study 2013
- Surgical Treatment of Scar Endometriosis Following Cesarean Section, a Series of 12 Cases 2013
- Clear cell adenocarcinoma arising from umbilical endometriosis 2012
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- Cutaneous endometriosis: diagnostic immunohistochemistry and clinicopathologic correlation 2011
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