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[Cutaneous endometriosis--clinical case report].

Tiago Esteves1, Jorge Cabrita, Ricardo Coelho

  • 1Hospital Central do Funchal, Madeira, Portugal.

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Cutaneous endometriosis is a rare condition where endometrial tissue grows on the skin, often after abdominal surgery like a cesarean section. This case highlights a nodule near a surgical scar, emphasizing its diagnostic importance.

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Area of Science:

  • Dermatology and Pathology
  • Reproductive Medicine

Background:

  • Cutaneous endometriosis is an uncommon condition, accounting for about 1% of ectopic endometrial tissue cases.
  • Lesions commonly develop following abdominal or genital surgeries in women of reproductive age, particularly cesarean sections.

Observation:

  • A 26-year-old woman presented with a year-long history of a 2.5 cm, asymptomatic, dome-shaped, dark red nodule near a lower abdominal scar.
  • The patient had a prior cesarean section five years before presentation.
  • Histopathology revealed endometrial glands within a cellular, edematous stroma.

Findings:

  • The histopathological examination confirmed the presence of endometrial glands and stroma in the cutaneous nodule.
  • The lesion's location adjacent to a surgical scar suggests iatrogenic implantation as a likely cause.

Implications:

  • Cutaneous endometriosis, though rare, is a recognized entity that dermatopathologists must be aware of to avoid diagnostic errors.
  • Understanding the pathogenesis and clinical presentation is crucial for accurate diagnosis and management of these unusual metaplastic changes.