Abstract:A case of umbilical endometriosis is presented to highlight the challenges in its diagnosis. The etiology, clinical findings, histologic evaluation, prognosis and treatment options are discussed. While cyclic symptomatology may lend evidence to the diagnosis of umbilical endometriosis, history and clinical findings are often equivocal. Decidualization of umbilical endometriosis can be initially confused with a malignant process on histologic evaluation. The potential for malignant degeneration appears low. Sur… Show more
“…[25][26][27][28] Its incidence in the Steck and Helwig series 2 was 9 of 82, while we have observed only one case among our 71 patients. Decidualized endometrium is due to the influence of ovarian and placental hormones, principally progesterone; thus it is commonly encountered in histologic specimens obtained during pregnancy or progestin therapy.…”
“…[25][26][27][28] Its incidence in the Steck and Helwig series 2 was 9 of 82, while we have observed only one case among our 71 patients. Decidualized endometrium is due to the influence of ovarian and placental hormones, principally progesterone; thus it is commonly encountered in histologic specimens obtained during pregnancy or progestin therapy.…”
“…15,39,50,51,59 There are also rare cases with decidual changes in epithelium and stroma. 5,11,16,40,46,50,59 Different types of metaplasia have also been reported. Tubal metaplasia is the most frequent change, and it has been presented with continuous cylindrical epithelium with cilia and peg cells.…”
Section: Discussionmentioning
confidence: 94%
“…It is usually present in patients with spontaneous rather than the scar endometriosis. 16,18,25,31,37,38,45,52 In the previously reported cases, the maximum diameter of the lesion with endometriosis ranged from less than 1 cm 4,9,13,21,35,52,54,56,57 to 9 cm 57 (average diameter was 2 cm), and in cases of endosalpingiosis, it spanned from 5 mm 61 to 2.7 cm. 1 In our case, the fragment in which endometriosis and endosalpingiosis were simultaneously found was 4 cm in its maximum diameter.…”
Endosalpingiosis and endometriosis represent ectopic growth of the fallopian tube epithelium and endometrial glands and stroma, respectively. Cutaneous endometriosis is a well-known entity, most often presented on scars after gynecological procedures. Cutaneous endosalpingiosis, however, appears to be a rare condition, with only 5 cases described in medical literature thus far. The authors report an unusual case of a woman with combined inguinal endosalpingiosis and endometriosis occurring in the cutaneous scar at the site of previously placed surgical drain, 10 years after myomectomy had been performed. The authors also provide an extensive review of medical literature in English regarding cutaneous endosalpingiosis and endometriosis and discuss their clinical, histopathological, and immunohistochemical features.
Umbilical endometriosis is rare and challenging in both diagnosis and treatment. We report a case of an umbilical scar endometriotic nodule in a 39-year-old lady following laparoscopy-assisted vaginal hysterectomy. The wide local excision of the nodule and histopathological examination confirmed the diagnosis. We discuss the pathogenesis, diagnosis, differential diagnosis, and treatment options for the patient.
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