Cutaneous endometriosis

A Agarwal, Y F Fong
Singapore medical journal · 2008 · PMID:18830545 · W6979194465
case-report OA: closed CC0 ⤵ 50 in-corpus citations
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This study reviewed ten cases of cutaneous endometriosis, finding a mean diagnosis delay of 31.7 months, with spontaneous onset cases showing more severe pelvic disease than scar-related ones.

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Abstract

INTRODUCTION: Cutaneous or subcutaneous endometriosis is a rare entity that is an often overlooked because of chronic abdominal pain. METHODS: We reviewed the ten cases of cutaneous endometriosis that presented to this hospital over a seven-year period. RESULTS: The mean age of patients at presentation was 36.3 years. All our patients presented with cyclical abdominal pain. There was a considerable delay in the diagnosis and offer of treatment, the mean length of time between onset of symptoms to surgery being 31.7 months (range 1-62 months). The onset was spontaneous in 40 percent of our patients and the rest had scar endometriosis. The patients with spontaneous onset of disease had a more severe pelvic disease compared to those with scar endometriosis. Complete surgical excision was curative but left a large defect requiring polypropylene mesh repair in two patients. CONCLUSION: Cutaneous endometriosis should be suspected in any female presenting with cyclic or non-cyclic pain emanating from a mass in the vicinity of a previous surgical scar, the umbilicus or in the inguinal region. Surgical excision of the cutaneous endometriotic implants can be easily performed and is curative.

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Condition tags

endometriosis

MeSH descriptors

Cicatrix Endometriosis Endometriosis Skin Diseases Skin Diseases Abdominal Pain Adult Cicatrix Endometriosis Endometriosis Female Humans Middle Aged Polypropylenes Postoperative Complications Skin Diseases Skin Diseases Surgical Mesh Time Factors Treatment Outcome

Citation neighborhood

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. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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License: CC0 · commercial use OK