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首页> 外文期刊>International Journal of General Medicine >Primary umbilical endometrioma: a rare case of spontaneous abdominal wall endometriosis
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Primary umbilical endometrioma: a rare case of spontaneous abdominal wall endometriosis

机译：原发性脐带子宫内膜瘤：罕见的自发性腹壁子宫内膜异位症

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Abstract: Umbilical endometrioma is a rare condition, with an estimated incidence of 0.5%–1% in all patients with endometrial ectopia. Spontaneous abdominal wall endometriosis is an even rarer and more unusual condition with unclear pathogenetic mechanisms. A 44-year-old parous woman presented with an umbilical skin lesion, and no history of bleeding from the umbilical mass or swelling in the umbilical area. The initial clinical diagnosis was granuloma, and excision was planned. Pathology examination revealed endometrial glands with mucinous-type metaplasia surrounded by a disintegrating mantle of endometrial stroma. Clinical examination and magnetic resonance imaging did not reveal pelvic endometriosis lesions, and given that the umbilical endometrioma was totally excised, no further treatment with hormonal therapy was proposed for the patient. Three years after excision, she was free of disease and no recurrence has been observed. Complete excision and histology is highly recommended for obtaining a definitive diagnosis and optimal treatment in spontaneous abdominal wall endometriosis.
机译：摘要：脐带子宫内膜瘤是一种罕见的疾病，在所有子宫内膜异位患者中估计发生率为0.5％–1％。自发性腹壁子宫内膜异位症是一种更罕见，更不常见的病因，其致病机理尚不清楚。一名44岁的流产妇女出现脐带皮肤病灶，无脐带肿块出血或脐带肿胀的病史。最初的临床诊断为肉芽肿，并计划切除。病理检查发现子宫内膜腺体呈粘液型化生，并被子宫内膜基质的崩解包围。临床检查和磁共振成像未发现盆腔子宫内膜异位病变，并且鉴于脐带子宫内膜瘤已完全切除，因此未建议对该患者进行激素治疗。切除后三年，她没有疾病，也未观察到复发。强烈建议完全切除和组织学检查，以对自发性腹壁子宫内膜异位症进行明确的诊断和最佳治疗。

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