原发性脐部子宫内膜瘤：从一个不寻常的部位分析子宫内膜异位症的发病机制。
Primary umbilical endometrioma: Analyzing the pathogenesis of endometriosis from an unusual localization.
作者信息
Calagna Gloria, Perino Antonino, Chianetta Daniela, Vinti Daniele, Triolo Maria Margherita, Rimi Carlo, Cucinella Gaspare, Agrusa Antonino
机构信息
Department of Obstetrics and Gynecology, University Hospital "P. Giaccone", Palermo, Italy.
Department of Obstetrics and Gynecology, University Hospital "P. Giaccone", Palermo, Italy.
出版信息
Taiwan J Obstet Gynecol. 2015 Jun;54(3):306-12. doi: 10.1016/j.tjog.2014.03.011.
OBJECTIVE
This report presents a rare case of symptomatic primary umbilical endometriosis and reviews the literature on the topic with the aim to clarify some questions on the origin of endometriosis.
CASE REPORT
A 33-year-old woman with cyclic umbilical bleeding was found to have umbilical endometriosis. She had no history of pelvic or abdominal surgery. There was no past history of endometriosis or endometriosis-associated symptoms. An omphalectomy was performed after explorative laparoscopy to carefully inspect the abdominopelvic cavity and assess any coexisting pelvic endometriotic lesions. Histological examination confirmed the diagnosis of umbilical endometriosis.
CONCLUSION
Umbilical endometriosis is a rare but under-recognized phenomenon. Primary lesions are difficult to recognize, but probably represent an independent nosological entity. The possibility of endometriosis must be considered during the evaluation of an umbilical mass despite the absence of previous surgery. Complete excision and successive histology are highly recommended.
目的
本报告介绍了一例罕见的有症状的原发性脐部子宫内膜异位症病例，并回顾了该主题的文献，旨在阐明关于子宫内膜异位症起源的一些问题。
病例报告
一名33岁有周期性脐部出血的女性被发现患有脐部子宫内膜异位症。她没有盆腔或腹部手术史。既往也没有子宫内膜异位症或子宫内膜异位症相关症状的病史。在进行探索性腹腔镜检查后进行了脐切除术，以仔细检查腹腔和盆腔，并评估是否存在共存的盆腔子宫内膜异位病变。组织学检查证实了脐部子宫内膜异位症的诊断。
结论
脐部子宫内膜异位症是一种罕见但未被充分认识的现象。原发性病变难以识别，但可能代表一个独立的病种实体。尽管没有既往手术史，但在评估脐部肿块时必须考虑子宫内膜异位症的可能性。强烈建议进行完整切除并进行后续组织学检查。
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