Dermatoses of the Umbilicus

Powell, Frank C.; Su, W.P. Daniel

doi:10.1111/j.1365-4362.1988.tb04918.x

Cited by 19 publications

(9 citation statements)

References 23 publications

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“…Secretion or bleeding during menses may also occur (8). These cutaneous endometric nodules have to be evaluated to exclude possible metastases arising from the gastrointestinal tract (Sister May Joseph's nodule) (11), especial-ly when the clinical symptoms are vague.…”

Section: Discussionmentioning

confidence: 99%

Intralymphatic Embolic Cells with Cutaneous Endometriosis in the Umbilicus

Ichimiya

Hirota

Murakami

1998

The Journal of Dermatology

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Endometriosis is defined as the presence of both functioning endometrial glands and stroma outside their usual location lining the uterine cavity. It has been identified in virtually all tissues and organs of the female body with the exception of the spleen. There have been many theories proposed regarding the etiology and pathogenesis of endometriosis. One is the transport of cells through lymphatics and blood vessels. A 44-year-old female suffering from an episode of endometriosis of the umbilicus, left inguinal, uterus, and bilateral ovaries in association with a Múllerian anomaly is presented. Histopathological findings of a skin biopsy from her umbilicus showed aggregated cells within the lymphatic vessel of the upper dermis. This case provides evidence suggesting that cutaneous endometriosis could occur by transport of endometrial cells through lymphatics or blood vessels.

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Section: Discussionmentioning

confidence: 99%

Intralymphatic Embolic Cells with Cutaneous Endometriosis in the Umbilicus

Ichimiya

Hirota

Murakami

1998

The Journal of Dermatology

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“…The differential diagnosis for umbilical lesions includes pyogenic granuloma, umbilical polyp, melanocytic nevus, seborrheic keratosis, epithelial inclusion cyst, desmoid tumour, hemangioma and granular cell tumour (9). Other differential diagnoses can include umbilical hernia, omphalitis, keloid and foreign body granuloma (5).…”

Section: Discussionmentioning

confidence: 99%

“…Other differential diagnoses can include umbilical hernia, omphalitis, keloid and foreign body granuloma (5). Malignant lesions such as melanoma, adenocarcinoma, squamous and basal cell carcinoma, and metastases from the gastrointestinal tract should be ruled out (9). Endometriosis, therefore, is not frequently high on the plastic surgeon's differential diagnosis for solitary umbilical nodules.…”

Section: Discussionmentioning

confidence: 99%

Umbilical endometriosis: A rare diagnosis in plastic and reconstructive surgery

Malebranche

Bush

2010

J Plast Surg

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E ndometriosis is a disease characterized by the presence of uterine tissue outside the endometrium and myometrium (1). It can clinically manifest with dysmenorrhea, dyspareunia, cyclical or noncyclical pelvic pain and subfertility. Occurring in 8% to 15% of menstruating women (2), it most commonly presents in the ovaries, uterine ligaments, rectovaginal septum and peritoneum (3). Endometriosis can less commonly present in other sites such as the intestines, appendix, lungs and kidneys (4). The cutaneous variant of endometriosis is much rarer and has been reported to account for approximately 1% of all cases (5). Cutaneous endometriosis is most prevalent at sites of surgical scars such as those from caesarean sections, episiotomies, hysterectomies, laparoscopies and other abdominal surgeries (2-4,6,7). According to Friedman and Rico (6), umbilical endometriosis with no previous abdominal or pelvic surgery is even less common. Patients with cutaneous endometriosis typically present to the gynecologist and the dermatologist. If they have a history of pelvic or abdominal surgery, then they can also present to the general surgeon. There have been only 81 published reports of 'umbilical endometriosis' in the world between 1953 and 2008. Although patients with umbilical endometriosis infrequently present to the plastic surgeon, we present such a case and suggest that it be kept on the plastic surgeon's differential diagnosis for umbilical lesions.

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“…In the field of dermatology, the navel is a predilection site for metastases (“Sister Mary Joseph nodule”), cutaneous endometriosis, and diverse skin disorders . If surgery is needed, reconstruction aims to achieve the following goals: achieve sufficient depth, avoid scarring on the surrounding abdominal skin, and produce a natural‐looking appearance .…”

Section: Introductionmentioning

confidence: 99%