Cutaneous endometriosis: Presentation of 33 cases and literature review

Alvaro Lopez-Soto, Álvaro López Soto, Maria Isabel Sanchez-Zapata, María Isabel Sánchez-Zapata, Sanchez-Zapata MI, Juan Pedro Martínez‐Cendán, Martinez-Cendan JP, Juan Pedro Martinez-Cendan, Ortiz Reina S, Sebastian Ortiz Reina, Sebastián Ortiz Reina, Carmen Maria Bernal Mañas, Bernal Mañas CM, Remezal Solano M, Manuel Remezal Solano
European journal of obstetrics, gynecology, and reproductive biology · 2017 · vol. 221 , pp. 58–63 · doi:10.1016/j.ejogrb.2017.11.024 · PMID:29310043 · W2772970804
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This paper presents a case series of 33 patients with cutaneous endometriosis and reviews existing literature on the condition's presentation, diagnosis, and management.

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Abstract

ObjectiveCutaneous endometriosis is a rare condition that usually affects the abdominal wall in women with a history of open abdominal surgery. It has a characteristic clinical picture of a mass and pain associated with menstruation. The diagnosis is difficult on being an uncommon and little known condition. Once there is suspicion, a correct anamnesis and examination is usually sufficient. The treatment is normally surgery.Study designThe study included all women identified with a diagnosis of cutaneous endometriosis over a period of 20 years. The variables collected and analysed included, age, surgical history, gynaecology history, symptoms, time period between surgery and consultation, specialist consulted, location, size, tests performed, treatment, and recurrence.ResultsA total of 33 women were identified, with a mean age of 35.4 ± 2.33 years. A surgical history was found in 31 (93%) of 33 women. The main symptom was abdominal mass (96%), followed by period pain (51%), and non-period pain (42%). The initial diagnosis was correct in 15 (45%) of 33 women, and after performing further tests it was correct in 23 (69%) of 33 women. The main additional test was fine needle aspiration (FNA) in 24 (72%) of 33 patients. Surgery was performed on 30 (90%) of 33 women, with 8 (24%) women requiring a prosthesis. There was a recurrence of cutaneous endometriosis in 3 (9%) women.ConclusionAlthough it is a rare disease, its association with gynaecological surgery, and in particular caesarean section, means that there should be more awareness of this condition. Its diagnosis may be complicated due to lack of knowledge, when a proper examination and anamnesis can give us the key.

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Condition tags

endometriosis

MeSH descriptors

Abdominal Wall Cicatrix Endometriosis Gynecologic Surgical Procedures Skin Diseases Abdominal Wall Adult Cesarean Section Cesarean Section Cicatrix Cicatrix Endometriosis Endometriosis Endometriosis Female Gynecologic Surgical Procedures Humans Middle Aged Retrospective Studies Skin Diseases

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