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Yang Y, Zhao X, Huang Y. Renal Endometriosis Mimicking Cystic Renal Tumor: Case Report and Literature Review. Front Med (Lausanne) 2021; 8:684474. [PMID: 34235162 PMCID: PMC8255484 DOI: 10.3389/fmed.2021.684474] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2021] [Accepted: 05/27/2021] [Indexed: 11/16/2022] Open
Abstract
Background: Endometriosis mainly affects female pelvic tissues and organs, and the presence of endometriosis in the kidney is extremely rare. Case Presentation: We report a case of a 48-year-old woman who presented with intermittent hematuria. She was found to have a cystic mass on renal ultrasonography, and contrast-enhanced computed tomography (CT) showed slight enhancement of the cystic wall and septa. These findings were indicative of cystic renal tumor. The patient subsequently underwent partial right nephrectomy. Histopathology revealed endometriosis of the right renal parenchyma. The patient recovered well and had no evidence of a recurrent renal mass at the 3 months' follow up. Conclusion: The possibility of renal endometriosis should be considered in a female patient with a cystic renal mass and clinical symptoms related to the menstrual cycle.
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Affiliation(s)
- Ye Yang
- Department of Ultrasound, Sheng Jing Hospital of China Medical University, Shenyang, China
| | - Xinxin Zhao
- Department of Hospice, Sheng Jing Hospital of China Medical University, Shenyang, China
| | - Ying Huang
- Department of Ultrasound, Sheng Jing Hospital of China Medical University, Shenyang, China
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2
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Tognetti L, Cinotti E, Tonini G, Habougit C, Cambazard F, Rubegni P, Perrot JL. New findings in non-invasive imaging of cutaneous endometriosis: Dermoscopy, high-frequency ultrasound and reflectance confocal microscopy. Skin Res Technol 2018; 24:309-312. [PMID: 29388271 DOI: 10.1111/srt.12431] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/01/2018] [Indexed: 11/29/2022]
Abstract
BACKGROUND Cutaneous endometriosis (CE) is rare and its dermoscopic features were reported only in 3 patients. The aim of this study was to examine a case of pigmented CE with multiple non-invasive imaging techniques, to compare the obtained images with histopathology and to define their utility in an early diagnosis of the disease. CASE REPORT We performed dermoscopy, high-frequency ultrasound (HFUS), in vivo and ex vivo reflectance confocal microscopy (RCM) of a pigmented CE arising on the caesarean scar of a phototype IV patient, along with histologic studies. Dermoscopy showed a greyish background and a brownish pigmentation. HFUS shows well-demarcated anechoic areas corresponding to ectopic endometrial tissue at histopathologic examination. RCM and OCT only showed the alterations of the epidermis. CONCLUSION High-frequency ultrasound could represent a very useful tool for an early diagnosis of CE and its usefulness could be tested in patients with unusual cyclical pain, even before skin lesion appearance. RCM allowed the visualization of skin surface modification due to underlying endometriosic tissue. Dermoscopy showed a new aspect that was probably related to the mix of blood extravasation (ie, greyish background) and epidermal pigmentation (ie, brown pigmentation).
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Affiliation(s)
- L Tognetti
- Dermatology Unit, Department of Medical, Surgical and Neuro Sciences, University of Siena, Siena, Italy.,Department of Medical Biotechnologies, University of Siena, Siena, Italy
| | - E Cinotti
- Dermatology Unit, Department of Medical, Surgical and Neuro Sciences, University of Siena, Siena, Italy
| | - G Tonini
- Dermatology Unit, Department of Medical, Surgical and Neuro Sciences, University of Siena, Siena, Italy
| | - C Habougit
- Anatomopathology Unit, Department of Pathology, University Hospital of St-Etienne, Saint Etienne, France
| | - F Cambazard
- Dermatology Unit, University Hospital of St-Etienne, Saint Etienne, France
| | - P Rubegni
- Dermatology Unit, Department of Medical, Surgical and Neuro Sciences, University of Siena, Siena, Italy
| | - J L Perrot
- Dermatology Unit, University Hospital of St-Etienne, Saint Etienne, France
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3
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Umbilical Skin Endometriosis: Treatment, Reconstruction, and Differential Diagnosis. Dermatol Surg 2017; 43:449-452. [DOI: 10.1097/dss.0000000000000940] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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4
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Egami S, Kumagai Y, Yokoyama T, Sugiura M. Development of abdominal wall endometriosis in a region distant from a caesarean section scar. Clin Exp Dermatol 2017; 42:214-215. [PMID: 28052369 DOI: 10.1111/ced.13018] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/15/2016] [Indexed: 11/25/2022]
Affiliation(s)
- S Egami
- Department of Dermatology, Shizuoka Municipal Shimizu Hospital, 1231, Miyakami, Shimizu-ku Shizuoka city, Shizuoka, 424-0911, Japan
| | - Y Kumagai
- Department of Dermatology, Shizuoka Municipal Shimizu Hospital, 1231, Miyakami, Shimizu-ku Shizuoka city, Shizuoka, 424-0911, Japan
| | - T Yokoyama
- Department of Dermatology, Shizuoka Municipal Shimizu Hospital, 1231, Miyakami, Shimizu-ku Shizuoka city, Shizuoka, 424-0911, Japan
| | - M Sugiura
- Department of Dermatology, Shizuoka Municipal Shimizu Hospital, 1231, Miyakami, Shimizu-ku Shizuoka city, Shizuoka, 424-0911, Japan
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5
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Mohamed AA, Selim YA, Arif MA, Albroumi SA. Gastric wall endometriosis in a postmenopausal woman. THE EGYPTIAN JOURNAL OF RADIOLOGY AND NUCLEAR MEDICINE 2016. [DOI: 10.1016/j.ejrnm.2016.08.005] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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Ha JK, Choi CW, Kim HW, Kang DH, Park SB, Kim SJ, Hong JB. An extremely rare case of gastric subepithelial tumor: gastric endometriosis. Clin Endosc 2015; 48:74-7. [PMID: 25674531 PMCID: PMC4323438 DOI: 10.5946/ce.2015.48.1.74] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/11/2013] [Revised: 02/20/2014] [Accepted: 02/20/2014] [Indexed: 11/25/2022] Open
Abstract
Endometriosis is a disease characterized by the presence of endometrial tissue outside of the uterine cavity. It is common in women of childbearing age, and is most frequently located in the pelvic cavity. Approximately 10% of endometriosis cases occur outside of the pelvic cavity in locations such as the intestines, genitourinary system, kidneys, lungs, and skin. However, there have been few reports of endometriosis in the stomach. Here, we report a rare case of endometriosis that presented as a subepithelial stomach tumor.
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Affiliation(s)
- Jong Kun Ha
- Department of Internal Medicine, Pusan National University School of Medicine and Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan, Korea
| | - Cheol Woong Choi
- Department of Internal Medicine, Pusan National University School of Medicine and Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan, Korea
| | - Hyung Wook Kim
- Department of Internal Medicine, Pusan National University School of Medicine and Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan, Korea
| | - Dae Hwan Kang
- Department of Internal Medicine, Pusan National University School of Medicine and Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan, Korea
| | - Su Bum Park
- Department of Internal Medicine, Pusan National University School of Medicine and Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan, Korea
| | - Su Jin Kim
- Department of Internal Medicine, Pusan National University School of Medicine and Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan, Korea
| | - Jeong Beom Hong
- Department of Internal Medicine, Pusan National University School of Medicine and Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan, Korea
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Chikazawa K, Mitsushita J, Netsu S, Konno R. Surgical excision of umbilical endometriotic lesions with laparoscopic pelvic observation is the way to treat umbilical endometriosis. Asian J Endosc Surg 2014; 7:320-2. [PMID: 25354378 DOI: 10.1111/ases.12128] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/03/2013] [Revised: 05/15/2014] [Accepted: 06/22/2014] [Indexed: 11/29/2022]
Abstract
Primary umbilical endometriosis is extremely rare, although cases secondary to previous surgery have occasionally been reported. Here, we report three cases of umbilical endometriosis: two cases with previous cesarean section and one case of primary umbilical endometriosis. The treatment of choice for umbilical endometriosis is the excision of the lesions, and we believe laparoscopic pelvic observation is a beneficial addition, as 13%-15% of umbilical endometriosis cases are accompanied by pelvic endometriosis.
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Affiliation(s)
- Kenro Chikazawa
- Department of Obstetrics and Gynecology, Saitama Medical Center, Jichi Medical University, Saitama, Japan
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Nazzaro G, Coggi A, Gianotti R. A painful umbilical nodule in a 24-year-old woman. Umbilical endometriosis (Villar nodule). Int J Dermatol 2013; 53:25-6. [PMID: 24350857 DOI: 10.1111/ijd.12077] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- Gianluca Nazzaro
- Dipartimento di Fisiopatologia medico-chirurgica e dei trapianti, Università degli Studi di Milano - Fondazione IRCCS Cá Granda Ospedale Maggiore Policlinico, Milano, Italy
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9
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Costa IM, Gomes CM, Morais OO, Costa MC, Abraham LS, Argenziano G. Cutaneous endometriosis: dermoscopic findings related to phases of the female hormonal cycle. Int J Dermatol 2013; 53:e130-2. [DOI: 10.1111/j.1365-4632.2012.05854.x] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
| | | | | | - Mariana C. Costa
- Instituto de Dermatologia Prof. Rubem David Azulay; Rio de Janeiro Brazil
| | | | - Giuseppe Argenziano
- Dermatology and Skin Cancer Unit; Arcispedale Santa Maria Nuova IRCCS; Reggio Emilia Italy
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11
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Cutaneous endometriosis: A plastic surgery perspective. J Plast Reconstr Aesthet Surg 2013; 66:129-30. [DOI: 10.1016/j.bjps.2012.05.012] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2012] [Accepted: 05/11/2012] [Indexed: 11/23/2022]
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