Cutaneous endometriosis | |
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Specialty | Urology, dermatology |
Cutaneous endometriosis is characterized by the appearance of papules at the umbilicus or in lower abdominal scars after gynecologic surgery in middle-aged women. [1]: 628 The size averages to 2 cm in diameter. Its colour ranges from blue to violet, brown or skin-coloured. [2]
Rarely, endometriosis may present inside the muscles of the abdominal wall instead of the skin after cesarean section. [3]
The traditional manifestation of cutaneous endometriosis is a hard nodule or papule with an average diameter of 2 cm. If a patient presents with a nodule at the umbilicus and exhibits symptoms like discomfort, itching, bleeding, or discharge, it is recommended to consider umbilical endometriosis. [4] Localized indications of inflammation, like erythema, could be present in the impacted regions. [2]
There are two types of cutaneous endometriosis: primary and secondary. Primary cutaneous endometriosis is known to develop spontaneously, yet its exact cause is unknown. [4] It is believed that treatments related to abdominal or pelvic surgery that result in the implantation of endometrial tissue into the skin are the cause of secondary cutaneous endometriosis. [2]
A biopsy of the lesion and subsequent histological analysis can be used to confirm the diagnosis. [4]
For cutaneous endometriosis, there are two possible treatment modalities: hormone therapy and surgery. Oral contraceptives, danazol, and gonadotropin-releasing hormonal agonists are examples of hormonal therapy. [4]
Cutaneous endometriosis | |
---|---|
Specialty | Urology, dermatology |
Cutaneous endometriosis is characterized by the appearance of papules at the umbilicus or in lower abdominal scars after gynecologic surgery in middle-aged women. [1]: 628 The size averages to 2 cm in diameter. Its colour ranges from blue to violet, brown or skin-coloured. [2]
Rarely, endometriosis may present inside the muscles of the abdominal wall instead of the skin after cesarean section. [3]
The traditional manifestation of cutaneous endometriosis is a hard nodule or papule with an average diameter of 2 cm. If a patient presents with a nodule at the umbilicus and exhibits symptoms like discomfort, itching, bleeding, or discharge, it is recommended to consider umbilical endometriosis. [4] Localized indications of inflammation, like erythema, could be present in the impacted regions. [2]
There are two types of cutaneous endometriosis: primary and secondary. Primary cutaneous endometriosis is known to develop spontaneously, yet its exact cause is unknown. [4] It is believed that treatments related to abdominal or pelvic surgery that result in the implantation of endometrial tissue into the skin are the cause of secondary cutaneous endometriosis. [2]
A biopsy of the lesion and subsequent histological analysis can be used to confirm the diagnosis. [4]
For cutaneous endometriosis, there are two possible treatment modalities: hormone therapy and surgery. Oral contraceptives, danazol, and gonadotropin-releasing hormonal agonists are examples of hormonal therapy. [4]