Spontaneous cutaneous endometriosis of the mons pubis: Diagnosis, treatment, and review of the literature

Abstract

Background: Cutaneous endometriosis is usually associated with a preceding surgical scar; spontaneous cutaneous endometriosis is rare. We report on a case of spontaneous cutaneous endometriosis of the mons pubis as well as a review of the literature. Case: A 46-year-old woman with no surgical history presented to gynecology clinic with a 6-year history of a mass on the mons pubis causing severe cyclic pain with enlargement during menses. Initial fine needle aspiration biopsy was nondiagnostic; thus, pelvic ultrasound, magnetic resonance imaging, and a core needle biopsy were used to diagnose a mons endometrioma. The lesion was surgically excised with pathology confirming the diagnosis. The patient noted subsequent improvement in her symptoms. Conclusion: Spontaneous cutaneous endometriosis of the mons pubis can be successfully treated via surgical excision.

Primary inguinal subcutaneous endometriosis accompanied with an inguinal hernia

“…Recurrence after surgical excision is rare. [ 3 ] Our patient has no recurrence despite 1 year of follow-up.…”

“…Currently, there are 3 main theories of endometriosis pathogenesis: retrograde menstruation, which means menstruation contained endometrial cells retrograde move through the fallopian tube and into the peritoneal cavity; coelomic metaplasia, which designates normal peritoneal tissue transformation into ectopic endometrial tissue; and vascular or lymphatic spread, which denotes endometrial cells spreading through vascular or lymphatic tract. [ 3 ] In our case, the endometrial cells might be accompanied with a hernia sac and move to the inguinal cutaneous region.…”