Cited by 93Endometriosis Research and TreatmentGynecological conditions and treatmentsEndometrial and Cervical Cancer Treatments

Cutaneous Endometriosis

Steck, Willard D.·1965·JAMA: The Journal of the American Medical Association

Abstract

A clinicopathologic study of cutaneous endometriosis in 82 patients includes 28 lesions of the umbilicus, 42 of the lower abdominal wall, and 12 in the inguinal area, labia, and perineum. With the exception of five endometriomas of the inguinal area, every lesion occurred in a scar. Twenty-one arose without a preceding operation in the physiologic scar of the umbilicus, and 56 in surgical scars. The umbilical lesions were too precisely located to be logically explained by lymphatic spread, unless only the cells that find scar tissue are able to proliferate. Cesarean-section scars of 26 patients were involved, indicating a vastly greater incidence of endometriosis in cesarean scars than previously reported. This either casts doubt on the theory of transplantation as the usual pathogenetic mechanism for the lesions in surgical scars, or suggests that the endometrium of pregnancy is easier to transplant than is commonly believed.

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Crossref · 10.1001/jama.1965.03080030011002

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  • Among umbilical endometriosis, primary umbilical endometriosis is more frequent.

    “Among umbilical endometriosis, primary umbilical endometriosis is more frequent.”

    From Extra-pelvic endometriosis: a review. (2020) · cites this paper as [45]

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Authors
Steck, W. D.
Corresponding author
Steck, Willard D.
Venue
JAMA: The Journal of the American Medical Association
Published
1965-01-18
Volume
191
Issue
3
Pages
167
ISSN
  • 0002-9955 (ISSN-L)
  • 0098-7484
OpenAlex
W4243835939
Cited by
91
References
0
Citations by year
2025: 1 · 2024: 3 · 2023: 1 · 2022: 3 · 2021: 1 · 2020: 3 · 2019: 1 · 2018: 1 · 2017: 3 · 2016: 5 · 2014: 2 · 2013: 4 · 2012: 7
FWCI
1.71
Type
journal article
Language
en
Open access
closed
Locations
  • JAMA (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
  • Health Sciences › Medicine › Obstetrics and Gynecology › Gynecological conditions and treatments
  • Health Sciences › Medicine › Obstetrics and Gynecology › Endometrial and Cervical Cancer Treatments
Keywords
cutaneous endometriosis, postoperative scarring, cesarean section scar, umbilical endometriosis, abdominal wall endometriosis, inguinal endometriosis, endometrioma, lymphatic spread, pathogenesis
MeSH terms
Cesarean Section, Cicatrix, Endometriosis, Female, Humans, Pathology, Pelvis, Perineum, Pregnancy, Skin Diseases, Skin Neoplasms, Umbilicus, Vulvar Neoplasms, Abdominal Wall

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