İnguinal Endometrioma: Vaka Sunumu

Ahmet Uysal, Semih Mun, Cüneyt Eftal Taner, Fatma Uysal
2014 · doi:10.18229/ktd.07759 · W1575062546
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This case report describes an inguinal endometrioma that invaded the periosteum, presenting with a tender nodule and cyclical pain, and was treated medically.

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This case report describes a rare instance of an inguinal endometrioma that invaded the periosteum of the pubic bone. While complete surgical excision is typically considered the optimal treatment for such lesions, the authors opted for non-invasive medical management in this specific patient due to the bone involvement. The paper details the clinical presentation as a cyclically painful and tender inguinal nodule alongside pathological confirmation of the ectopic endometrial tissue. This paper is centrally about endometriosis — specifically a rare extra-pelvic manifestation involving the inguinal region and bone invasion.

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Abstract

Endometriosis is defined as the presence of endometrial tissue with glands and stroma actively growing and functioning outside the uterus. The most frequent sites of implantation are the pelvic viscera and the peritoneum. Inguinal and periosteal regions are rare sites for endometrial implantation. endometrioma are tender inguinal nodule and cyclical pain. The best choice of treatment is complete excision, but we selected non invasive treatment which is medical. Here we report an inguinal region endometrioma that invade periosteum of bone with clinical and pathological features
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İnguinal endometrioma: Vaka sunumu Dosyalar Tarih Dergi Başlığı Dergi ISSN Cilt Başlığı Yayıncı Erişim Hakkı Özet Endometriozis uterus dışında aktif olarak büyüyen ve fonksiyon gösteren stromal veya glandüler endometriyal doku olarak tanımlanmaktadır. En sık gözlenen implantasyon alanları pelvik organlar ve peritondur. Endometrial implantasyon için inguinal bölge veya periosteum seyrek gözlenen bölgelerdir. Bu bölgedeki endometriozisin klinik prezentasyonu ise siklik olarak ağrılı hassas inguinal nodüldür. En iyi tedavi yöntemi ise komplet eksizyondur. Biz vakamızda, periosta invaze olduğu için girişimsel olmayan medikal tedaviyi tercih ettik. Bu vaka sunumunda, pubik kemik üzerine fikse endometrioma odağı klinik ve patolojik özellikleri ile beraber sunuldu. Endometriosis is defined as the presence of endometrial tissue with glands and stroma actively growing and functioning outside the uterus. The most frequent sites of implantation are the pelvic viscera and the peritoneum. Inguinal and periosteal regions are rare sites for endometrial implantation. Clinical presentations of periosteal endometrioma are tender inguinal nodule and cyclical pain. The best choice of treatment is complete excision, but we selected non invasive treatment which is medical. Here we report an inguinal region endometrioma that invade periosteum of bone with clinical and pathological features.

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