Das Aditi
Pathology, Pandit Jawaharlal Nehru Memorial Government Medical College, Raipur, IND.
Cureus. 2019 Aug 2;11(8):e5309. doi: 10.7759/cureus.5309.
Umbilical lesions are rare, but it is important to cautiously inspect and investigate every umbilical nodule or growth to rule out the possibility of embryological remnant and associated congenital anomaly in infants and children and hidden malignancy in adults. Certain umbilical anomalies can be expected in association with certain syndromes (i.e., known unknowns), and at times can be identified during prenatal screening, while others are simply unforeseeable conditions that may arise unexpectedly (i.e., unknown unknowns). Umbilical lesions can be diagnosed on careful clinical and histopathological evaluation. Benign tumours are much more common than metastatic deposits. Certain lesions such as umbilical granuloma can be managed conservatively, while exomphalos and complicated umbilical hernia require urgent surgical intervention. This review article will help to elucidate the spectrum of umbilical lesions, with special emphasis on the importance of proper evaluation of often neglected, but clinically important entities.
脐部病变较为罕见，但谨慎检查和研究每一个脐部结节或肿物十分重要，以排除婴幼儿胚胎残余及相关先天性异常以及成人隐匿性恶性肿瘤的可能性。某些脐部异常可能与特定综合征相关（即已知的未知情况），有时可在产前筛查时发现，而其他情况则是可能意外出现的完全不可预见的状况（即未知的未知情况）。通过仔细的临床和组织病理学评估可诊断脐部病变。良性肿瘤比转移性沉积物更为常见。某些病变如脐肉芽肿可保守处理，而脐膨出和复杂脐疝则需要紧急手术干预。这篇综述文章将有助于阐明脐部病变的范围，特别强调对常被忽视但临床上重要的实体进行恰当评估的重要性。
