Cutaneous and Subcutaneous Endometriosis

Purvis, Robert S.; Tyring, Stephen K.

doi:10.1111/j.1524-4725.1994.tb00456.x

Cited by 114 publications

(71 citation statements)

References 10 publications

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“…Twenty patients (60.6%) in the current study presented classic symptoms that were concordant with other reports published. 15,30,31 Some authors consider such manifestations to be almost pathognomonic. 22,32 The cyclical nature of the complaint is an important factor that predicts the disease and was present in 66.7% of the patients in the current study, despite what some authors claim.…”

Section: Discussionmentioning

confidence: 99%

“…Other possible indications for this are in situations of relapse or in relation to pelvic endometriosis. 2,14,15,34,38 Victory et al stated that the use of drug therapy might result in long-term control over the symptoms, with minimal risk of malignization. 22 Generic forms of gonadotropin-releasing hormone (GnRH), danazol and progesterone at the same doses have been approved for treating pelvic endometriosis and, consequently, such patients are subject to the side effects of these drugs, such as amenorrhea.…”

Section: Discussionmentioning

confidence: 99%

“…22 Generic forms of gonadotropin-releasing hormone (GnRH), danazol and progesterone at the same doses have been approved for treating pelvic endometriosis and, consequently, such patients are subject to the side effects of these drugs, such as amenorrhea. 15 Taking the main physiopathogenesis of scar endometrioma as the main theory, several measures have been proposed for prevention of iatrogenic implantation in the endometrium, but without any evident scientific corroboration. Use of good surgical techniques and intrasurgical tests are deemed elementary precautions in this respect.…”

Section: Discussionmentioning

confidence: 99%

“…16 The use of laparoscopic examinations and biopsy puncture has been correlated with umbilical scar endometriomas. 15,[22][23][24] Other rarer general surgical procedures, such as congenital inguinal hernia, might lead to endometrioma at the incision site, even mimicking hernia recurrence. 4,25 In 1958, Ridley and Edward performed a successful experimental study on humans in which they injected endometrial tissue into the abdominal wall in order to corroborate the iatrogenic implant theory.…”

Section: Discussionmentioning

confidence: 99%

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Scar endometrioma following obstetric surgical incisions: retrospective study on 33 cases and review of the literature

Leite¹,

Carvalho²,

Korkes³

et al. 2009

Sao Paulo Med. J.

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CONTEXT AND OBJECTIVE: The incidence of scar endometrioma ranges from 0.03 to 3.5%. Certain factors relating to knowledge of the clinical history of the disease make correct diagnosis and treatment difficult. The aim here was to identify the clinical pattern of the disease and show surgical results. The literature on this topic was reviewed. DESIGN AND SETTING:Retrospective descriptive study at Hospital Municipal Maternidade -Escola Dr. Mário de Moraes Altenfelder Silva. idade, antecedentes obstétricos, sintomatologia, localização, tamanho e palpação do tumor, duração da queixa, diagnóstico, tratamento. Todas as pacientes foram submetidas a exerese da massa tumoral com margem de segurança. METHODS: RESULTADOS:Foram encontrados 33 pacientes com média de idade 30,1 (± 5,0), variando de 18 a 41 anos. A incidência total foi de 0,11%, nas cesarianas foi de 0,29% e nos partos vaginais, 0,01%. Localização do tumor: 29 casos em cicatriz de cesária (87,9%), dois em região umbilical (6,0%) e dois em cicatriz de episiotomia (6,0%). A principal sintomatologia foi dor cíclica localizada (66,7%), com duração média de 30,5 meses (± 23). O tratamento cirúrgico foi realizado com sucesso em todas as pacientes.CONCLUSÃO: Trata-se de uma doença incomum. O dado de maior importância diagnóstica foi: coincidência da sintomatologia dolorosa com a menstruação. Pacientes submetidas a cesariana têm maior risco (risco relativo = 27,37 e P < 0,01). O tratamento cirúrgico de escolha é exerese do endometrioma com margem de segurança.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Scar endometrioma following obstetric surgical incisions: retrospective study on 33 cases and review of the literature

Leite¹,

Carvalho²,

Korkes³

et al. 2009

Sao Paulo Med. J.

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“…El tratamiento médico se refiere al uso de anticonceptivos orales, progestinas y análo-gos de GnRH. Sólo se ha reportado el alivio transitorio de los síntomas y la recurrrencia es de regla al suspender la terapia (22). El manejo óptimo es mediante la escisión quirúrgica amplia con especial cuidado de remover todo el tejido afectado y dejando límites libres de enfermedad.…”

Section: Tabla I Resumen De Las Características Clínica Tipo De Ciruunclassified

Endometriosis De La Pared Abdominal

G³

et al. 2007

Rev. chil. obstet. ginecol.

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RESUMENAntecedentes: La presencia de endometriosis de la pared abdominal (EPA) suele confundirse con otras patologías médico-quirúrgicas que aparecen en la misma zona. Objetivo: Evaluar las características clínicas de la EPA. Método: Se realizó un estudio retrospectivo de todas las pacientes hospitalizadas con el diagnóstico histopatológico de EPA entre enero de 1997 y diciembre de 2005. Resultados: Se encontraron 14 pacientes, con edad promedio de 33,2 años. Los principales síntomas fueron: dolor cíclico (71,4%), masa abdominal (100%), dispareunia (21,4%) y dismenorrea (42,8%). Todas la pacientes tuvieron al menos una cirugía ginecológica (2 con procedimientos laparoscópicos) u obstétrica (85,7% cesárea). Sólo una paciente se había diagnosticado previamente de endometriosis. Los síntomas comenzaron en promedio 3,5 años posteriores a la última cirugía. Las EPA tenían un tamaño promedio de 3,2 cm. El diagnóstico pre-operatorio fue correcto en el 64,3% de las pacientes. Los diagnósticos incorrectos correspondieron a 3 granulomas, una hernia inguinal y un lipoma. Todas las pacientes requirieron cirugía y en el 64,3% fue necesario la utilización de mallas polytetrafluoethyleno. Cuatro pacientes (28,5%) presentaron recurrencias. 60% de los diagnósticos iniciales incorrectos v/s 11,1% de los acertados recurrieron. Conclusiones: La EPA puede encontrarse en cicatrices tanto ginecológicas como obstétricas. Los síntomas comunes son masas con dolor cíclico. La ecografía de pared abdominal fue suficiente para enfrentar el diagnóstico diferencial. El diagnóstico pre-operatorio es importante para planificar la cirugía porque redujo las recurrencias. El tratamiento de elección es la cirugía con resección amplia de los bordes.PALABRAS CLAVE: Endometriosis, pared abdominal, cicatriz de cesárea SUMMARY Background: The presence of abdominal wall endometriosis (AWE) used to be confused with other surgical pathologies that may appear in these zones. Objective: To evaluate the AWE clinical characteristics. Method: Retrospective study of all the patients hospitalized with the histopathologycal diagnosis of AWE, between January 1997 and December 2005. Results: There was found AWE only in 14 patients. Their mean age was 33.2 years old. The symptoms were: cyclic pain (71.4%), abdominal wall mass (100%), dyspareunia (21.4%) and dysmenorrhea (42.8%). All patients had at least one gynecologic (2 patients with laparoscopic procedures) or obstetric surgery (85.7% had previous cesarean section). Only one patient had previously been diagnosed with pelvic endometriosis. Their symptoms started after an average of 3.5 years after surgery. The AWE had a mean size of 3.2 cm. The preoperative diagnosis was correct in 64.3%. The incorrect preoperative diagnoses were 3 granuloma, 1 inguinal hernia and 1 lipoma. All patients required surgery. 64.3% of the patients it was necessary a polytetrafluoethylene mesh. Four patients (28.5%) had AWE recurrences. 60% of the wrong initial diagnosis recurred versus 11.1% of the

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