{"id":6625,"date":"2020-04-22T12:14:39","date_gmt":"2020-04-22T15:14:39","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/endometriosis-cutanea\/"},"modified":"2020-04-27T17:14:22","modified_gmt":"2020-04-27T20:14:22","slug":"endometriosis-cutaneous-2","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/en\/wiki\/endometriosis-cutanea\/","title":{"rendered":"Cutaneous endometriosis"},"content":{"rendered":"<p><\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_88 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/endometriosis-cutanea\/#%C2%BFQue-es-la-endometriosis\" >What is endometriosis?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/endometriosis-cutanea\/#Que-es-cutaneo-endometriosis\" >What is cutaneous endometriosis?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/endometriosis-cutanea\/#%C2%BFQue-causa-la-endometriosis-cutanea\" >What Causes Cutaneous Endometriosis?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/endometriosis-cutanea\/#%C2%BFCuales-son-las-caracteristicas-clinicas-de-la-endometriosis-cutanea\" >What are the clinical features of cutaneous endometriosis?<\/a><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/endometriosis-cutanea\/#Endometriosis-cutanea-en-el-perineo\" >Cutaneous endometriosis in the perineum.<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/endometriosis-cutanea\/#%C2%BFQue-complicaciones-se-derivan-de-la-endometriosis-cutanea\" >What complications arise from cutaneous endometriosis?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/endometriosis-cutanea\/#%C2%BFComo-se-diagnostica-la-endometriosis-cutanea\" >How is cutaneous endometriosis diagnosed?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/endometriosis-cutanea\/#%C2%BFCual-es-el-tratamiento-para-la-endometriosis-cutanea\" >What is the treatment for cutaneous endometriosis?<\/a><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-es-la-endometriosis\"><\/span>What is endometriosis?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The endometrium is the lining of the uterus (womb). Endometriosis is the growth of endometrial tissue outside the uterus. It usually arises near the uterus inside the pelvis, the lower abdomen. The mass is also called an &#039;endometrioma&#039;. Endometriosis outside of the pelvis occurs in approximately 12% of women with endometriosis.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Que-es-cutaneo-endometriosis\"><\/span>What is it <span class=\"term\" data-term-id=\"47\">cutaneous<\/span> endometriosis?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Cutaneous endometriosis is endometriosis on the skin and is rare. It was first described by Villar in 1860. It commonly occurs in surgery <span class=\"term\" data-term-id=\"806\">incision<\/span> from previous gynecologic or abdominal surgery, such as a cesarean section, hysterectomy, or laparoscopic surgery, but it can also develop spontaneously. It&#039;s also called &#039;<span class=\"term\" data-term-id=\"1191\">scar<\/span> endometriosis&#039;.<\/p>\n<p>The most common sites for cutaneous endometriosis are the abdominal wall, the <span class=\"term\" data-term-id=\"1258\">belly button<\/span> and limbs.<\/p>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\">\n<div class=\"box-placement square-placement\">\n<div class=\"advert__frame\">\n<div id=\"dermnet-dermnet-mobbox\">\n<\/div><\/div><\/div><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-causa-la-endometriosis-cutanea\"><\/span>What Causes Cutaneous Endometriosis?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span style=\"font-size: 1rem;\">There are two theories about the cause of spontaneous cutaneous endometriosis.<\/span><\/p>\n<ul>\n<li>The transport theory states that endometrial cells are transported out of the uterus through the <span class=\"term\" data-term-id=\"744\">lymphatic<\/span> system or other route.<\/li>\n<li>The metaplasmic theory states that endometrial cells can develop in the coelomic mesothelium in the presence of <span class=\"term\" data-term-id=\"1844\">estrogen<\/span> levels or other stimulus.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCuales-son-las-caracteristicas-clinicas-de-la-endometriosis-cutanea\"><\/span>What are the clinical features of cutaneous endometriosis?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Women with cutaneous endometriosis may have the following signs and symptoms.<\/p>\n<ul>\n<li>A <span class=\"term\" data-term-id=\"1171\">palpable<\/span> <span class=\"term\" data-term-id=\"900\">subcutaneous<\/span> dough; This can cause cramps and bleeding during the monthly period and is sometimes called \u201cmenstruation. <span class=\"term\" data-term-id=\"289\">tumor<\/span>&#8220;.<\/li>\n<li>The dough is generally firm and can be blue, black, brown, or red in color.<\/li>\n<li>Typical size range for mass averages 0.5\u20136 mm in diameter.<\/li>\n<li>The patient may complain of itching, swelling, or tenderness.<\/li>\n<\/ul>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Endometriosis-cutanea-en-el-perineo\"><\/span>Cutaneous endometriosis in the perineum.<span class=\"ez-toc-section-end\"><\/span><\/h5>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='endometriosis__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-7918710-1348668' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/endometriosis__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-7918710.jpg'>\n<\/div>\n<p class=\"p-small\">Cutaneous endometriosis<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-complicaciones-se-derivan-de-la-endometriosis-cutanea\"><\/span>What complications arise from cutaneous endometriosis?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Complications of cutaneous endometriosis include:<\/p>\n<ul>\n<li>Local <span class=\"term\" data-term-id=\"1074\">reappearance<\/span> after surgery <span class=\"term\" data-term-id=\"848\">excision<\/span>\n<\/li>\n<li>Endometrial development <span class=\"term\" data-term-id=\"32\">carcinoma<\/span> (this is rare)<\/li>\n<\/ul>\n<p><span class=\"term\" data-term-id=\"1742\">Malignancy<\/span> should be suspected if the mass is abnormally large, has grown rapidly, or has recurred afterwards <span class=\"term\" data-term-id=\"1075\">splits<\/span>.<\/p>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\">\n<div class=\"box-placement square-placement\">\n<div class=\"advert__frame\">\n<div id=\"dermnet-dermnet-mobbox\">\n<\/div><\/div><\/div><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFComo-se-diagnostica-la-endometriosis-cutanea\"><\/span>How is cutaneous endometriosis diagnosed?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The diagnosis of cutaneous endometriosis is based on:<\/p>\n<ul>\n<li>Patient history, including gynecological and surgical history.<\/li>\n<li>Physical exam<\/li>\n<li>Ultrasound (<span class=\"term\" data-term-id=\"1378\">ultrasound<\/span> test)<\/li>\n<li>Doppler examination of the <span class=\"term\" data-term-id=\"1184\">soft tissues<\/span> abdominal wall<\/li>\n<li>Computed tomography<\/li>\n<li><span class=\"term\" data-term-id=\"1410\">Magnetic resonance imaging<\/span><\/li>\n<li>Skin <span class=\"term\" data-term-id=\"24\">biopsy<\/span><\/li>\n<\/ul>\n<p><span class=\"term\" data-term-id=\"129\">Histopathology<\/span> is the key to an accurate diagnosis and detects the endometrial glands, <span class=\"term\" data-term-id=\"1655\">stroma<\/span> and <span class=\"term\" data-term-id=\"119\">hemosmosin<\/span> if present.<\/p>\n<p>Diagnosis is often delayed due to confusion with other conditions, including <span class=\"term\" data-term-id=\"118\">hematoma<\/span>, neuroma, hernia and <span class=\"term\" data-term-id=\"1264\">neoplastic<\/span> tissue.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCual-es-el-tratamiento-para-la-endometriosis-cutanea\"><\/span>What is the treatment for cutaneous endometriosis?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The main treatment for cutaneous endometriosis is surgical excision of the mass, preserving the umbilicus whenever possible and if relevant.<\/p>\n<p>Medical therapy uses the hormones danazol, <span class=\"term\" data-term-id=\"1841\">progesterone<\/span>and gonadotropin-releasing hormone (GnRH).<\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>\u00bfQu\u00e9 es la endometriosis? El endometrio es el revestimiento del \u00fatero (matriz). La endometriosis es el crecimiento de tejido endometrial fuera del \u00fatero. Por lo general, surge cerca del \u00fatero&#8230;<\/p>","protected":false},"author":8,"featured_media":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","format":"standard","meta":{"footnotes":""},"categories":[204],"tags":[],"class_list":["post-6625","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/6625","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki"}],"about":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/types\/wiki"}],"author":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/comments?post=6625"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/6625\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/media?parent=6625"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/categories?post=6625"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/tags?post=6625"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}