Yasui Takahiro, Okamura Takehiko
Department of Urology, Federation of National Public Service Mutual Aid Associations, Meijo Hospital.
Hinyokika Kiyo. 2003 Dec;49(12):753-5.
A 54-year-old female was referred to us for a nodule under her umbilical region. The nodule had enlarged slowly and reached a size of 20 mm in diameter over the last 2 years. She had no symptoms and there was no oozing of blood or pain during menstruation. The nodule was removed under lumbar anesthesia. Histological examination of the resected nodule revealed an island of glandular tissue in the deep dermis, which was composed of a single layer of columnar cells, and was diagnosed as umbilical endometriosis. There was no associated lesion in the intrauterine or pelvic space. There has not been any evidence of recurrence five months postoperatively. On finding an umbilical mass in women, this rare disease must be considered.
一名54岁女性因脐下出现结节前来我院就诊。该结节在过去2年中缓慢增大，直径达20毫米。她没有任何症状，月经期间也没有出血或疼痛。结节在腰麻下切除。对切除的结节进行组织学检查发现，真皮深层有一片腺组织岛，由单层柱状细胞组成，诊断为脐部子宫内膜异位症。子宫内或盆腔内未发现相关病变。术后5个月没有复发迹象。女性发现脐部肿物时，必须考虑这种罕见疾病。
