CUTANEOUS ENDOMETRIOSIS

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This clinicopathologic study analyzed 82 cutaneous endometriosis lesions, most occurring in scars, particularly cesarean section scars, questioning current transplantation theories.

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Abstract

A clinicopathologic study of cutaneous endometriosis in 82 patients includes 28 lesions of the umbilicus, 42 of the lower abdominal wall, and 12 in the inguinal area, labia, and perineum. With the exception of five endometriomas of the inguinal area, every lesion occurred in a scar. Twenty-one arose without a preceding operation in the physiologic scar of the umbilicus, and 56 in surgical scars. The umbilical lesions were too precisely located to be logically explained by lymphatic spread, unless only the cells that find scar tissue are able to proliferate. Cesarean-section scars of 26 patients were involved, indicating a vastly greater incidence of endometriosis in cesarean scars than previously reported. This either casts doubt on the theory of transplantation as the usual pathogenetic mechanism for the lesions in surgical scars, or suggests that the endometrium of pregnancy is easier to transplant than is commonly believed.

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Condition tags

endometriosis

MeSH descriptors

Abdominal Wall Abdominal Wall Cesarean Section Cesarean Section Cicatrix Cicatrix Endometriosis Endometriosis Pathology Pathology Pelvis Pelvis Perineum Perineum Skin Diseases Skin Diseases Skin Neoplasms Skin Neoplasms Umbilicus Umbilicus

Citation neighborhood (2-hop)

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. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

Cited by (50)

Source provenance

europepmc
last seen: 2026-10-19T06:17:24.038039+00:00
openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
last seen: 2026-10-08T21:01:56.755204+00:00
License: CC0 · commercial use OK