Primary umbilical endometriosis - Diagnosis by fine needle aspiration

Primary (spontaneous) umbilical endometriosis is very rare with an estimated incidence of 0.5-1% of all patients with endometrial ectopia. Endometriosis is a common gynecological condition, the pelvis being the most common site of the disease. Extrapelvic site is less common and even more difficult...

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Bibliographic Details
Published in:Journal of cytology 2011-10, Vol.28 (4), p.214-216
Main Authors: Fernandes, Hilda, Marla, Nisha J, Pailoor, Kirana, Kini, Reshma
Format: Article
Language:English
Subjects:
Biopsy, Needle
Care and treatment
Case Report
Case studies
Cells
Cytoplasm
Diagnosis
Endometriosis
Fine needle aspiration
umbilicus
endometriosis
primary
Health aspects
Pain
Physiological aspects
Women
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Summary:Primary (spontaneous) umbilical endometriosis is very rare with an estimated incidence of 0.5-1% of all patients with endometrial ectopia. Endometriosis is a common gynecological condition, the pelvis being the most common site of the disease. Extrapelvic site is less common and even more difficult to diagnose due to the extreme variability in presentation. A 38-year-old woman presented with a blackish nodule over the umbilicus of 3 years duration. Fine needle aspiration cytology of the lesion showed cells in clusters and sheets with background of scant stromal fragment, hemosiderin laden macrophages and RBCs, leading to a suggestion of umbilical endometriosis. Histopathological examination of the excised lesion confirmed the same.
ISSN:0970-9371
0974-5165
DOI:10.4103/0970-9371.86355