Perineal Endometriosis

Ho Cheol Shin, Tae Hyung Kim, Sang Won Kim, Dong Seok Kim, Cheol Hyun Park, Chang Kyu Huh
In: Annals of Dermatology · 1994 · vol. 6(2) , pp. 196 · doi:10.5021/ad.1994.6.2.196 · W4250736681
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This case report details a 33-year-old woman with perineal endometriosis presenting as bilateral plaques, one at an episiotomy scar, which was surgically treated with complete resolution.

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This paper reports a case study of perineal endometriosis in a 33-year-old woman with two bilateral, thickened perineal plaques present for about four years, with the right plaque mainly at an episiotomy scar. Histology confirmed endometriosis by demonstrating glandular structures in cellular stroma with predecidual changes consistent with the late secretory phase of endometrium. The patient underwent radical surgery consisting of total hysterectomy with bilateral oophorectomy and partial excision of the perineal lesions, with complete resolution and no relapse at a 6-month follow-up; the authors note the condition is rare, with only three prior Korean cases reported. This paper is centrally about endometriosis — it specifically describes and pathologically confirms perineal endometriosis arising at a prior episiotomy scar.

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Published online Nov 28, 2016. https://doi.org/10.5021/ad.1994.6.2.196 Perineal Endometriosis Abstract Endometriosis is an enigmatic disease of menstruating females affecting the reproductive life. We report herein a case of perineal endometriosis in a 33-year-old woman. The patient presented two rounded, thickened plaques bilaterally on the perineum for about four year. The plaque on the right side was located mainly at the episiotomy scar. Histologic examination showed confirmative feature of glandular structures embedded in the cellular stroma and predecidual changes of late secretory phase of endometrium. Radical operation of total hysterectomy with bilateral oophorectomy and partial excision of perineal lesions were performed. There was complete resolution with no relapse by the 6-month follow-up. This is of a very rare occurrence and three cases have been reported in the Korean literatures up to date.

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endometriosis

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