Aydin Ozgür
Department of Pathology, Alanya Hospital, Başkent University, Alanya, Antalya, Turkey.
Langenbecks Arch Surg. 2007 Jan;392(1):105-9. doi: 10.1007/s00423-006-0107-8. Epub 2006 Oct 17.
Scar endometriosis develops in and is adjacent to surgical scars at the site of previous abdominal operations. The most frequent clinical presentation of the disease is that of a palpable subcutaneous mass near surgical scars associated with cyclic pain and swelling during menses. Endometriosis of the surgical scar is often referred to the general surgeons because the clinical presentation suggests an incisional hernia or other conditions related to the general surgery. Cyclical symptoms such as pain and swelling, in relation to surgical scars, which worsen at the time of menstruation, are nearly pathognomonic of scar endometriosis. However, often the diagnosis of endometriosis is not suggested until after histology has been performed.
We present two cases of cutaneous endometriosis that has occurred on the site of previous cesarean section scar area.
瘢痕子宫内膜异位症发生于既往腹部手术部位的手术瘢痕内及瘢痕附近。该病最常见的临床表现是在手术瘢痕附近可触及皮下肿块，伴有月经期间的周期性疼痛和肿胀。手术瘢痕子宫内膜异位症常被转诊至普通外科医生处，因为其临床表现提示为切口疝或其他与普通外科相关的病症。与手术瘢痕相关的周期性症状，如疼痛和肿胀，在月经期间加重，几乎是瘢痕子宫内膜异位症的特征性表现。然而，通常直到进行组织学检查后才会考虑子宫内膜异位症的诊断。
我们呈现两例发生于既往剖宫产瘢痕部位的皮肤子宫内膜异位症病例。
