Van den Nouland Dpa, Kaur M
Department of Gynaecology and Obstetrics, Zuyderland Medisch Centrum, Sittard-Geleen, The Netherlands.
Facts Views Vis Obgyn. 2017 Jun;9(2):115-119.
Primary umbilical endometriosis is a rare phenomenon accounting for 0,4-1,0% of extragenital endometriosis. Despite the fact that it mostly presents as a typical cyclic umbilical discharge coincidental with a palpable mass, the diagnosis is often delayed due to its low prevalence, as was seen in the presented case. The exact pathogenesis is still unclear. The golden standard for diagnosis is histopathological examination, but diagnostic tools like ultrasound, MRI or CT scan can be helpful. The differential diagnosis includes a wide range of disorders. Surgical management is the preferred treatment.
原发性脐部子宫内膜异位症是一种罕见现象,占生殖器外子宫内膜异位症的0.4%-1.0%。尽管其大多表现为典型的周期性脐部排出物并伴有可触及的肿块,但由于其发病率低,诊断往往会延迟,本病例即如此。确切的发病机制仍不清楚。诊断的金标准是组织病理学检查,但超声、MRI或CT扫描等诊断工具可能会有所帮助。鉴别诊断包括多种疾病。手术治疗是首选的治疗方法。