Endometriosis cutánea: a propósito de un caso

Nieves Maira González, Fabián Vidal Santana, Antonio Castro Sánchez, Begoña Vieites Pérez Quintela
In: Progresos de Obstetricia y Ginecología · 2013 · vol. 56(3) , pp. 156–158 · doi:10.1016/j.pog.2012.07.007 · W2073105427
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Cutaneous endometriosis, endometrial tissue found outside the uterus and often in surgical scars of women of reproductive age, is diagnosed through history and confirmed by histopathological resection.

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Abstract

La endometriosis es una entidad que consiste en la existencia de tejido endometrial fuera de la cavidad uterina. Es una enfermedad relativamente frecuente en mujeres en edad reproductiva. La localización más frecuente es la ovárica, aunque se han descrito en la literatura múltiples sitios, incluyendo la piel. La endometriosis cutánea frecuentemente está en relación con la cirugía previa abdominopélvica y su lugar de aparición suele ser la cicatriz. Ante la existencia de una formación nodular en una cicatriz de cirugía en edad reproductiva, una buena anamnesis dirigida al determinar si presenta dolor e incremento de tamaño cíclico, puede orientarnos al diagnóstico. El tratamiento debe ser siempre su exéresis para diagnóstico de confirmación, que pasa invariablemente por su estudio histopatológico. Endometriosis consists of the presence of endometrial tissue outside the uterine cavity. This entity is relatively common in women of reproductive age. The most frequent location is the ovary but multiple sites have been described in the literature, including the skin. Cutaneous endometriosis is often related to previous abdominal and pelvic surgery and the site of occurrence is often a surgical scar. In women of reproductive age with a nodule in a surgical scar, a thorough history to determine if there is pain and a cyclical increase in size can guide the diagnosis. Treatment should always be resection for diagnostic confirmation, which is always histopathological.

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endometriosis

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