Cutaneous Endometriosis: A Case Report
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Keywords
Cutaneous endometriosis, CEM, keloid, scar endometriosis, umbilical endometriosis
Abstract
Cutaneous endometriosis (CEM) is a rare disease characterized by endometrial glands and/or stroma in the skin. Lesions present as a firm papule or nodule and can be blue, violaceous, red, brown or skin-colored. Patients frequently report cyclical tenderness, swelling and bleeding at the site of the lesion related to their menstrual cycle. CEM presents a diagnostic challenge as lesions are commonly mistaken for a keloid, dermatofibroma, dermatofibrosarcoma protuberans, melanoma or cutaneous metastasis of cancer (e.g., Sister Mary Joseph nodule). A biopsy must be taken to rule out malignancy and treatments include surgical excision and hormonal agents. To our knowledge, just over 100 cases have been reported in the literature. Herein we highlight a case of CEM in a 43-year-old female that presented to dermatology after being overlooked on prior work-up with obstetrics and gynecology. This case highlights the need for dermatologists to be familiar with CEM, as we may be the first clinicians these patients present to for painful cutaneous lesions.
References
2. Raffi L, Suresh R, McCalmont TH, Twigg AR. Cutaneous endometriosis. Int J Womens Dermatol. 2019;5(5):384-386. Published 2019 Jul 2. doi:10.1016/j.ijwd.2019.06.025
3. Ojong O, Susa J, Weiss E. A solitary brown nodule on the umbilicus. JAAD Case Rep. 2020;6(10):1024-1026. Published 2020 Aug 14. doi:10.1016/j.jdcr.2020.08.010
4. Tatli F, Gozeneli O, Uyanikoglu H, et al. The clinical characteristics and surgical approach of scar endometriosis: A case series of 14 women. Bosn J Basic Med Sci. 2018;18(3):275-278. Published 2018 Aug 1. doi:10.17305/bjbms.2018.2659
5. Din AH, Verjee LS, Griffiths MA. Cutaneous endometriosis: a plastic surgery perspective. J Plast Reconstr Aesthet Surg. 2013;66(1):129-130. doi:10.1016/j.bjps.2012.05.012
6. DeClerck BK, Post MD, Wisell JA. Cutaneous decidualized endometriosis in a nonpregnant female: a potential pseudomalignancy. Am J Dermatopathol. 2012;34(5):541-543. doi:10.1097/DAD.0b013e3182473172
7. Fargas Fàbregas F, Cusidó Guimferrer M, Tresserra Casas F, Baulies Caballero S, Fábregas Xauradó R. Malignant transformation of abdominal wall endometriosis with lymph node metastasis: Case report and review of literature. Gynecol Oncol Case Rep. 2014;8:10-13. Published 2014 Jan 5. doi:10.1016/j.gynor.2013.12.003
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Stefanie Altmann, Orange Park Medical Center
Division of Dermatology
PGY-3 Dermatology Resident