The use of dermoscopy in differentiating Sister Mary Joseph nodule and cutaneous endometriosis

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.

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A rare case report of cutaneous endometriosis over arm diagnosed by fine needle aspiration cytology

Diagnostic Cytopathology ◽

10.1002/dc.23991 ◽

2018 ◽

Vol 47 (2) ◽

pp. 144-146 ◽

Cited By ~ 1

Author(s):

Neetu Pandey ◽

Sumaira Qayoom ◽

Mala Sagar ◽

Madhu Mati Goel

Keyword(s):

Case Report ◽

Fine Needle Aspiration ◽

Fine Needle Aspiration Cytology ◽

Rare Case ◽

Needle Aspiration ◽

Aspiration Cytology ◽

Fine Needle ◽

Rare Case Report ◽

Cutaneous Endometriosis ◽

Needle Aspiration Cytology

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Primary umbilical endometriosis – A rare presentation of cutaneous endometriosis

IP Journal of Diagnostic Pathology and Oncology ◽

10.18231/j.jdpo.2021.048 ◽

2021 ◽

Vol 6 (3) ◽

pp. 226-230

Author(s):

Girija C ◽

Muhammed Aslam K K

Keyword(s):

Rare Condition ◽

Surgical Excision ◽

Rare Presentation ◽

Surgical Biopsy ◽

Diagnostic Dilemma ◽

Child Bearing ◽

Surgical Speciality ◽

Cutaneous Endometriosis ◽

Clinical Differential Diagnosis ◽

Umbilical Endometriosis

Primary umbilical endometriosis is a rare condition with an overall incidence of around 0.5% to 1% among all the endometriosis cases, but at times it poses a diagnostic dilemma. In our institution we encountered a case of primary umbilical endometriosis presented to multiple surgical speciality departments. A prompt clinical examination with surgical biopsy was the key tool which lead to the diagnosis and providing a complete cure for the patient. Pelvic endometriosis affects 5-10% of women in the child bearing age group. The most pronounced symptoms are dyspareunia, pelvic pain, and infertility. Clinical presentations of umbilical endometriosis are as a nodule with or without associated umbilical pain and bleeding. This patient was given primary hormonal therapy and later underwent a biopsy which paved way for an accurate diagnosis of primary umbilical endometriosis. In this case of umbilical swelling, conditions like a benign nevus, lipoma, abscess, cyst, hernia, as well as metastatic deposit from a systemic malignancy were considered in the clinical differential diagnosis. However surgical excision helped us arrive at a definitive diagnosis and cure for the patient.

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