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Heidi Muñoz, MD; Leon Waxtein, MD; M. Elisa Vega, MD; Roberto Cortes, MD; M. Teresa Hojyo, MD; Luciano Dominguez-Soto, MD
General Hospital "Dr Manuel Gea González", Mexico City, Mexico

Arch Dermatol. 1999;135:1113-1118.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

REPORT OF A CASE

A 46-year-old woman presented with a 4-month history of a slowly growing, 6-mm-diameter, ulcerated, violaceous nodule on the umbilicus (Figure 1). She complained of local tenderness and occasional bleeding that increased during her menstruation. She had no history of previous illnesses or abdominal surgery.

Figure 1.

The lesion was excised, and the histopathologic features are shown in Figure 2.

Figure 2.

What is your diagnosis?

Diagnosis: Primary cutaneous endometriosis.

Histopathologic examination of the lesion revealed irregular glandular structures within a highly cellular and vascular stroma. The glandular structures were lined by a single layer of epithelium showing decapitation secretion into the lumen.

The patient underwent a gynecologic and endocrinologic evaluation. Two months after the umbilical nodule was surgically excised, she underwent an abdominal hysterectomy because of uterine myomatosis. No evidence of . . . [Full Text of this Article]

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