Endometriose Cutânea Umbilical: Relato de Caso

Mário Aurélio Borges Fidelis, Chan I. Thien, I. Chan, Bianca Gonçalves Varella Benjamim, Larissa Saboya Barbosa de Saboya Barbosa de Azevedo, Mairan Santos Steffen, Arles Martins Brotas, Maria de Fátima Guimarães Scotelaro
In: Journal of the Portuguese Society of Dermatology and Venereology · 2018 · vol. 76(3) , pp. 317–320 · doi:10.29021/spdv.76.3.885 · W2894704069
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This case report details a rare instance of umbilical cutaneous endometriosis diagnosed through clinical examination and histopathology, which resolved well after complete surgical excision.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 · read from full text ⓘ

This paper reports a case of umbilical cutaneous endometriosis in a patient with no comorbidities, diagnosed using anamnesis, clinical assessment, and histopathological examination. The authors describe that definitive diagnosis relies on histopathology, while immunohistochemistry may be helpful and imaging (abdominal ultrasound, CT, and MRI) can support evaluation; they also note important differential diagnoses for umbilical papular lesions, which may be primary or secondary and neoplastic or inflammatory. After complete excision of the lesion, the patient reportedly showed good evolution. This paper is centrally about endometriosis — specifically a rare case of cutaneous umbilical endometriosis and its diagnostic workup and surgical outcome.

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Abstract

PA endometriose caracteriza-se pela presença de implante ectópico de tecido endometrial, normalmente funcionante e hormono-sensível. O acometimento extrapélvico pode ocorrer em cerca de 12% das mulheres com a afecção. Endometriose umbilical foi relatada como representando cerca de 0,4% a 4,0% de todas as endometrioses e 30% a 40% dos casos de endometriose cutânea. Trata-se de um caso raro de uma doença que apresenta diagnósticos diferenciais importantes com outras afecções papulonodulares umbilicais, que podem ser primárias ou secundárias, neoplásicas ou inflamatórias. Relata-se o caso de uma paciente sem comorbidades, com diagnóstico de Endometriose cutânea umbilical, baseado na anamnese, exame clínico e histopatológico, que apresentou boa evolução após a exérese completa da lesão. O diagnóstico definitivo é histopatológico, mas pode ser complementado pela imunohistoquímica assim como a ultrassonografia, tomografia computorizada e ressonância magnética de abdómen. A excisão cirúrgica é a terapêutica de eleição.
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Abstract

Endometriosis is characterized by the presence of ectopic implantation of endometrial tissue, normally functioning and hormone-sensitive. Extrapelvic involvement can occur in about 12% of women with the condition. Umbilical endometriosis has been reported to account for about 0.4% to 4.0% of all endometriosis and 30% to 40% of cases of cutaneous endometriosis. It is a rare case of a disease that presents important differential diagnosis with other umbilical papular disorders, which may be primary or secondary, neoplasic or inflammatory. This paper reports the case of a patient with no comorbidities, with a diagnosis of umbilical cutaneous endometriosis, based on anamnesis, clinical and histopathological examination, showing a good evolution after complete excision of the lesion. The definitive diagnosis is based on histopathology, but immunohistochemistry may be helpful as well as abdomen ultrasound, computed tomography and magnetic resonance imaging. Surgical management is the preferred treatment. Downloads

References

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