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We report arecently observed case of primary umbilical endometriosis without previouspelvic surgery. A 41-year-old Japanese woman complained of umbilical nodulartumor. Histopathology revealed endometriosis of an approximate 10 mm resectedmass. The stromal cells in endometriosis were immunohistochemically positive for CD10. Two months later the first umbilical surgery, she underwenta left salpingo-oophorectomy and release of adhesion around the left adnexaunder a laparoscope. She was treated with dienogest 2 mg-day for six monthsafter four injections of GnRH analogue for four months. After three years ofthe follow-up, there were no signs of local relapse and no clinical andultrasonographic abnormalities due to endometriosis.

KEYWORDS

Umbilical Endometriosis, No Pelvic Surgery, Preservation of the Umbilicus, CD10, Immunohistochemistry

Cite this paper

Niwa, K. , Mizuno, Y. , Yano, R. , Ueda, Y. , Narikawa, N. and Tanaka, T. 2014 Umbilical Endometriosis without Pelvic Surgery. Open Journal of Pathology, 4, 171-175. doi: 10.4236-ojpathology.2014.44022.





Author: Kenji Niwa1*, Yusuke Mizuno2,3, Ryuichiro Yano4, Yoko Ueda1, Nozomi Narikawa1,5, Takuji Tanaka6

Source: http://www.scirp.org/



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