Spontaneous endometriosis in an umbilical skin lesion

Chatzikokkinou P, Paraskevi Chatzikokkinou, Thorfinn J, Johan Thorfinn, Angelidis IK, Ioannis Angelidis, Ioannis K Angelidis, Papa G, Giovanni Papa, Giusto Trevisan, Trevisan G
Acta dermatovenerologica Alpina, Pannonica, et Adriatica · 2009 · vol. 18(3) , pp. 126–30 · PMID:19784526 · W171610654
Case report OA: closed CC0 ⤵ 36 in-corpus citations
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This paper describes a case of umbilical cutaneous endometriosis presenting as a black mass, found to be endometrial tissue upon histological analysis, with no recurrence after surgical removal.

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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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Condition tags

endometriosis

MeSH descriptors

Endometriosis Skin Diseases Umbilicus Umbilicus Umbilicus Endometriosis Endometriosis Endometriosis Female Female Humans Humans Middle Aged Middle Aged Skin Diseases Skin Diseases Skin Diseases

Citation neighborhood (2-hop)

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (23)

Cited by (34)

Source provenance

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