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Abstract
ABSTRACT
L'endométriose est une localisation ectopique du tissu endométrial au niveau de la peau. Fréquemment observée chez les femmes en âge de procréer, la localisation cutanée est très rare et correspondrait à moins de 5,5% des cas d’endométriose. Dans le présent article, nous décrivons notre expérience d'un cas d'endométriose cutanée très atypique cause d’une errance. Les arguments de diagnostic définitif ont été déterminés après exérèse totale de la lésion et étude histopathologique. Dans notre observation, le différentiel avec la leishmaniose cutanée s’est posé avec acuité vu le contexte épidémiologique de cette maladie parasitaire.
RÉSUMÉ
Endometriosis is the ectopic location of the endometrial tissue. Although endometriosis is common in women of childbearing age, skin implantation is rare and often overlooked, and corresponding to less than 5.5% of cases of endometriosis. In this paper, we describe our experience with a case of atypical cutaneous endometriosis causing diagnostic wandering. The definitive diagnostic arguments were determined after total excision of the lesion and histopathological study. The differential with cutaneous leishmaniasis was of particular interest given the epidemiological context of this parasitic disease.
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References
- Sampson JA. Endometrial carcinoma of the ovary, arising in endometrial tissue in that organ. Arch Surg 1927 ; 10 : 1-72
- Ferna´ndez Vozmediano JM, Armario Hita JC, Cuevas Santos J. Cutaneous endometriosis. Int J Dermatol 2010 Dec;49(12): 1410e2.
- Kyamidis K, Lora V, Kanitakis J. Spontaneous cutaneous umbilical endometriosis: report of a new case with immunohistochemical study and literature review. Dermatol Online J 2011 Jul 15;17(7):5.
- Ferna´ndez-Acen˜ero MJ, Co´rdova S. Cutaneous endometriosis: review of 15 cases diagnosed at a single institution. Arch Gynecol Obstet 2011 May;283(5):1041e4.
- Xin Gao, Jackie Outley, Marc Botteman, James Spalding, James A. Simon, Chris L. Pashos. Economic burden of endometriosis. Fertility and Sterility. 2006 déc;86(6):1561–72.
- Fourquet J, Gao X, Zavala D, Orengo JC, Abac S, Ruiz A, et al. Patients’ report on how endometriosis affects health, work, and daily life. Fertil. Steril. 2010 mai 1;93(7):2424–8.
- Pugsley Z, Ballard K. Management of endometriosis in general practice: the pathway to diagnosis. Br J Gen Pract. 2007 juin;57(539):470–6.
- Sampson JA. Metastatic or Embolic Endometriosis, due to the Menstrual Dissemination of Endometrial Tissue into the Venous Circulation. Am J Pathol. 1927 Mar;3(2):93–110.43.
- Alexiadis G, Lambropoulou M, Deftereos S, et al. Abdominal wall endometriosiseultrasound research: a diagnostic problem. Clin Exp Obstet Gynecol 2001;28(2):121e2.
- Yu CY, Perez-Reyes M, Brown JJ, et al. MR appearance of umbilical endometriosis. J Comput Assist Tomogr 1994 MareApr;18(2):269e71.
- Patterson GK, Winburn GB. Abdominal wall endometriomas: report of eight cases. Am Surg 1999 Jan;65(1):36e9.
References
Sampson JA. Endometrial carcinoma of the ovary, arising in endometrial tissue in that organ. Arch Surg 1927 ; 10 : 1-72
Ferna´ndez Vozmediano JM, Armario Hita JC, Cuevas Santos J. Cutaneous endometriosis. Int J Dermatol 2010 Dec;49(12): 1410e2.
Kyamidis K, Lora V, Kanitakis J. Spontaneous cutaneous umbilical endometriosis: report of a new case with immunohistochemical study and literature review. Dermatol Online J 2011 Jul 15;17(7):5.
Ferna´ndez-Acen˜ero MJ, Co´rdova S. Cutaneous endometriosis: review of 15 cases diagnosed at a single institution. Arch Gynecol Obstet 2011 May;283(5):1041e4.
Xin Gao, Jackie Outley, Marc Botteman, James Spalding, James A. Simon, Chris L. Pashos. Economic burden of endometriosis. Fertility and Sterility. 2006 déc;86(6):1561–72.
Fourquet J, Gao X, Zavala D, Orengo JC, Abac S, Ruiz A, et al. Patients’ report on how endometriosis affects health, work, and daily life. Fertil. Steril. 2010 mai 1;93(7):2424–8.
Pugsley Z, Ballard K. Management of endometriosis in general practice: the pathway to diagnosis. Br J Gen Pract. 2007 juin;57(539):470–6.
Sampson JA. Metastatic or Embolic Endometriosis, due to the Menstrual Dissemination of Endometrial Tissue into the Venous Circulation. Am J Pathol. 1927 Mar;3(2):93–110.43.
Alexiadis G, Lambropoulou M, Deftereos S, et al. Abdominal wall endometriosiseultrasound research: a diagnostic problem. Clin Exp Obstet Gynecol 2001;28(2):121e2.
Yu CY, Perez-Reyes M, Brown JJ, et al. MR appearance of umbilical endometriosis. J Comput Assist Tomogr 1994 MareApr;18(2):269e71.
Patterson GK, Winburn GB. Abdominal wall endometriomas: report of eight cases. Am Surg 1999 Jan;65(1):36e9.