Ichimiya M, Hirota T, Muto M
Department of Dermatology, Yamaguchi University School of Medicine, Ube, Japan.
J Dermatol. 1998 May;25(5):333-6. doi: 10.1111/j.1346-8138.1998.tb02407.x.
Endometriosis is defined as the presence of both functioning endometrial glands and stroma outside their usual location lining the uterine cavity. It has been identified in virtually all tissues and organs of the female body with the exception of the spleen. There have been many theories proposed regarding the etiology and pathogenesis of endometriosis. One is the transport of cells through lymphatics and blood vessels. A 44-year-old female suffering from an episode of endometriosis of the umbilicus, left inguinal, uterus, and bilateral ovaries in association with a Múllerian anomaly is presented. Histopathological findings of a skin biopsy from her umbilicus showed aggregated cells within the lymphatic vessel of the upper dermis. This case provides evidence suggesting that cutaneous endometriosis could occur by transport of endometrial cells through lymphatics or blood vessels.
子宫内膜异位症的定义为，在子宫腔正常内衬位置以外出现具有功能的子宫内膜腺体和间质。除脾脏外，几乎在女性身体的所有组织和器官中都发现过该病。关于子宫内膜异位症的病因和发病机制，已经提出了许多理论。其中之一是细胞通过淋巴管和血管的运输。本文报告了一名44岁女性，患有脐部、左腹股沟、子宫和双侧卵巢的子宫内膜异位症，同时伴有苗勒管异常。对其脐部皮肤活检的组织病理学检查结果显示，真皮上层淋巴管内有聚集的细胞。该病例提供了证据，表明皮肤子宫内膜异位症可能是由子宫内膜细胞通过淋巴管或血管运输所致。
