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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Cited by (50)
- Characterising umbilical abdominal wall endometriosis as a distinct subgroup of abdominal wall endometriosis - retrospective cohort study 2024
- Monthly bleeding umbilical endometriosis: Case Report 2024
- Endometriosis beyond the Pelvis: A Case Series of Cutaneous Endometriosis and Literature Review 2024
- Cutaneous Endometriosis: a rare medical entity 2023
- Umbilical Endometriosis: A Systematic Literature Review and Pathogenic Theory Proposal 2022
- Clinical Features and Management of Umbilical Endometriosis: A 30 Years' Monocentric Retrospective Study 2022
- Diagnosis and Treatment of Vulvo-Perineal Endometriosis: A Systematic Review 2021
- Abdominal wall endometriosis: experience of the General Surgery Service of the Antônio Pedro University Hospital of the Universidade Federal Fluminense 2020
- Post Hysterectomy Scar Endometriosis: A Case Report 2020
- Extra-pelvic endometriosis: A review 2020
- A National Survey of Umbilical Endometriosis in Japan 2019
- [Cutaneous endometriosis] 2017
- Cutaneous endometriosis: Presentation of 33 cases and literature review 2017
- Spontaneous Cutaneous Endometriosis of the Umbilicus: A Case Report 2017
- Umbilical endometriosis mistaken for a keloid in a premenopausal woman of Caribbean descent 2016
- Endometriosis of Extra-Abdominal Soft Tissues: A Tertiary Center Experience 2016
- A Case of Umbilical Endometriosis: Villar's Nodule 2016
- A rare case of primary umbilical endometriosis in a nulliparous female confirmed on imaging and histopathology: Case report 2016
- ENDOMETRIOSIS WITH LYMPHATIC SPREAD 2014
- Surgical scar endometriosis 2013
- [Iatrogenic endometriosis during reproductive age: main issues?] 2013
- Endometriosis umbilical 2013
- Umbilical Endometriosis Discovered at Laparoscopy: Case Report 2012
- Silent-type Ectopic Endometrosis in the Groin Identified with CD10: A Case Report 2012
- Clear cell adenocarcinoma arising from endometriosis in abdominal wall cesarean section scar: a case report and review of the literature 2012
- Endometriosis of abdominal and pelvic wall scars: multimodality imaging findings, pathologic correlation, and radiologic mimics 2012
- Endométriose pariétale sur cicatrice de césarienne : à propos de 3 cas 2012
- Cutaneous decidualized endometriosis in a nonpregnant female: a potential pseudomalignancy 2012
- A Case of Cutaneous Endometriosis following Vulvar Injury 2011
- Cutaneous endometriosis: review of 15 cases diagnosed at a single institution 2010
- Endométriose de la paroi abdominale 2010
- Umbilical Endometriosis-A Case Report 2010
- Gallbladder endometrioma associated with obstructive jaundice and a serous ovarian cystic adenoma 2010
- Umbilical Endometriosis: A Rare Diagnosis in Plastic and Reconstructive Surgery 2010
- A CASE OF HETEROTOPIC ENDOMETRIOSIS PRESENTED WITH AN UMBILICAL TUMOR 2008
- Abdominal wall endometriosis: an overlooked but possibly preventable complication 2008
- Umbilical endometriosis in pregnancy without previous surgery 2007
- Villar's nodule: a case report and systematic literature review of endometriosis externa of the umbilicus 2007
- Risk factors for abdominal scar endometriosis after obstetric hysterotomies: a case-control study 2007
- Morphological variations of scar-related and spontaneous endometriosis of the skin and superficial soft tissue: a study of 71 cases with emphasis on atypical features and types of müllerian differentiations 2007
- Caesarean scar endometriosis presenting as an acute abdomen: a case report and review of literature 2007
- [Endometriosis in a laparotomic scar after cesarean section: report of two cases] 2006
- [Endometriosis in a laparotomic scar after cesarean section: report of two cases] 2006
- A Case of Umbilical Endometriosis with Ovarian Endometriosis 2006
- Scar endometriosis at the site of cesarean section 2006
- [Abdominal wall endometriosis after caesarean section: report of fifteen cases] 2006
- [Umbilical cutaneous endometriosis associated with a large uterine myoma] 2005
- A Case of Cutaneous Endometriosis Developing in the Pubis 2004
- Scar endometriosis developing after an umbilical hernia repair with mesh 2004
- Abdominal wall endometriosis: comparative imaging on power Doppler ultrasound and MRI 2004
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