Kourouma H-S, Ecra E-J, Allou A-S, Kouyaté M, Kouassi Y-I, Kaloga M, Kouassi K-A, Kassi K, Kouamé K, Ahogo C, Gbery I-P, Sangaré A
Service de dermatologie du CHU de Treichville, Abidjan, Cote d'Ivoire.
Service de dermatologie du CHU de Treichville, Abidjan, Cote d'Ivoire.
Ann Dermatol Venereol. 2017 Oct;144(10):617-620. doi: 10.1016/j.annder.2017.05.004. Epub 2017 Jun 23.
Most umbilical tumors are diagnosed as benign tumors, umbilical metastases of abdominal and pelvic tumors, or Sister Marie Joseph nodule. Herein, we report a case of cutaneous umbilical endometriosis mistaken for a keloid.
A young black woman aged 26 consulted for a painful umbilical tumefaction. She had noted the appearance of a nodule of the umbilicus 10 months ago with bleeding during her menstrual periods. Skin examination revealed a firm and painful umbilical nodule 2.5cm in diameter. She was treated with corticosteroid injections for one month for umbilical keloid. Given that the symptoms recurred regularly at the time of menstruation, we suspected umbilical endometriosis. This diagnosis was finally confirmed by histopathological examination and hormone therapy was instituted on gynecological advice before scheduled surgical excision.
In a setting of an umbilical tumor simulating a keloid associated with cyclical symptoms in a black woman, the diagnosis of umbilical endometriosis should not be overlooked by the dermatologist.
大多数脐部肿瘤被诊断为良性肿瘤、腹部和盆腔肿瘤的脐部转移瘤或玛丽·约瑟夫修女结节。在此，我们报告一例被误诊为瘢痕疙瘩的皮肤脐部子宫内膜异位症病例。
一名26岁的年轻黑人女性因脐部疼痛性肿物前来就诊。她在10个月前注意到脐部出现一个结节，经期有出血。皮肤检查发现一个直径2.5厘米、质地坚硬且有压痛的脐部结节。她因脐部瘢痕疙瘩接受了一个月的皮质类固醇注射治疗。鉴于症状在月经期间定期复发，我们怀疑是脐部子宫内膜异位症。这一诊断最终通过组织病理学检查得以证实，并在妇科建议下于预定手术切除前开始进行激素治疗。
对于一名黑人女性，在出现模拟瘢痕疙瘩且伴有周期性症状的脐部肿瘤时，皮肤科医生不应忽视脐部子宫内膜异位症的诊断。
