Umbilical Endometriosis Disguised by Seborrheic Keratosis on Punch Biopsy. (December 2021)

• Record Type: Journal Article
• Authors: Svart, Alexander C.; Ibrahim, Rami M.; Jørgensen, Lise P.; Berg, Jais O.
• Is Part Of: American journal of dermatopathology. Volume 43:Number 12(2021)
• Publication Date: 2021-12
• Subjects: umbilical endometriosis -- Villar nodule -- seborrheic keratosis; Skin -- Diseases -- Periodicals; Histology, Pathological -- Periodicals; 616.50705
• DOI: 10.1097/DAD.0000000000001959
• Languages: English
• ISSNs: 0193-1091

Abstract

Abstract : Abstract: Endometriosis is a benign condition of the female genital system, characterized by endometrial tissue external to the uterine cavity. Of all cases with endometriosis, the incidence of umbilical endometriosis is only 0.29%. Umbilical endometriosis typical presents with symptoms including cyclical pain, bleeding, and swelling of the nodule. Morphological changes in the epidermis, as in this case, simulating a seborrheic keratosis both clinically and microscopically, can initially mask the underlying endometriosis and prolong the course of treatment. A thorough anamnesis and examination revealing the characteristic symptoms and findings coupled with a representative biopsy is essential to correctly diagnose umbilical endometriosis.