Correspondence |

Cutaneous Incisional Endometriosis

Alia Sampson Brown, MD; Janine C. Malone, MD; Timothy S. Brown, MD; Jeffrey P. Callen, MD
Arch Dermatol. 2009;145(5):605-606. doi:10.1001/archdermatol.2009.67.
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We describe herein a woman with a cutaneous ectopic endometrioma arising in a scar from cesarean delivery and causing dull, aching discomfort.

Gunes  MKayikcioglu  FOzturkoglu  EHaberal  A Incisional endometriosis after cesarean section, episiotomy and other gynecologic procedures. J Obstet Gynaecol Res 2005;31 (5) 471- 475
Albrecht  LETron  VRivers  J Cutaneous endometriosis. Int J Dermatol 1995;34 (4) 261- 262
Banks  KP Subcutaneous endometrioma as an unexpected cause of chronic abdominal pain. AJR Am J Roentgenol 2003;181 (4) 1157
Bergqvist  A Extragenital endometriosis: a review. Eur J Surg 1992;158 (1) 7- 12
Firilas  ASoi  AMax  M Abdominal incision endometriomas. Am Surg 1994;60 (4) 259- 261
Nirula  RGreaney  G Incisional endometriosis: an underappreciated diagnosis in general surgery. J Am Coll Surg 2000;190 (4) 404- 407
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Figure 1.

Figure 1. Two years after cesarean delivery, a deep palpable nodule is apparent at the lateral aspect of the incision (arrows).

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Figure 2.

Figure 2. Histopathologic analysis demonstrates uniform spindled endometrial stromal cells condensed around several endometrial glands that are focally dilated. There is fibrosis and myxoid change of the surrounding dermal collagen (hematoxylin-eosin, original magnification ×100).

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Figure 3.

Figure 3. Siderophages and a patchy lymphocytic infiltrate are present within fibrotic collagen. The presence of hemosiderin implies functioning endometrium (hematoxylin-eosin, original magnification ×400).

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