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Clinical Features and Management of Umbilical Endometriosis: A 30 Years’ Monocentric Retrospective Study
Introduction: Umbilical endometriosis (UE) is defined as the presence of endometrial-like tissue within the umbilicus and represents around 0.5–1% of all cases of endometriosis. UE is classified into primary or secondary UE. In this retrospective study, we aimed to assess symptoms, signs, recurrence...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9779346/ https://www.ncbi.nlm.nih.gov/pubmed/36554635 http://dx.doi.org/10.3390/ijerph192416754 |
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author | Dridi, Dhouha Buggio, Laura Donati, Agnese Giola, Francesca Lazzari, Caterina Brambilla, Massimiliano Chiaffarino, Francesca Barbara, Giussy |
author_facet | Dridi, Dhouha Buggio, Laura Donati, Agnese Giola, Francesca Lazzari, Caterina Brambilla, Massimiliano Chiaffarino, Francesca Barbara, Giussy |
author_sort | Dridi, Dhouha |
collection | PubMed |
description | Introduction: Umbilical endometriosis (UE) is defined as the presence of endometrial-like tissue within the umbilicus and represents around 0.5–1% of all cases of endometriosis. UE is classified into primary or secondary UE. In this retrospective study, we aimed to assess symptoms, signs, recurrence rate of treated lesions, psychological wellbeing and health-related quality of life in women with UE. Material and methods: We retrospectively reviewed all cases of women diagnosed with UE in the period 1990–2021 in our center. Post-operative recurrence of UE was considered as the reappearance of the umbilical endometriotic lesion, or as the recurrence of local symptoms in the absence of a well-defined anatomical recurrence of the umbilical lesion. Moreover, participants were invited to fill in standardized questionnaires on their health conditions. Results: A total of 55 women with histologically proven UE were assessed in our center during the study period. At time of diagnosis, local catamenial pain and swelling were reported by 51% and 53.2% of women, respectively. A total of 46.8% of women reported catamenial umbilical bleeding. Concomitant non-umbilical endometriosis was identified in 66% of cases. As regards the treatment of UE, 83.6% of women underwent an en-bloc excision with histological confirmation of UE. During the follow-up period, 37 women (67.3%) agreed to undergo a re-evaluation. Recurrence of either umbilical symptoms, or umbilical nodule, was observed in 27% of patients, 11% of which did not receive post-operative hormonal therapy. Specifically, a recurrence of the umbilical endometriotic lesion was observed only in two women. Among the 37 women which we were able to contact for follow-up, 83.8% were satisfied with the treatment they had received. Conclusions: The high rate of patient satisfaction confirmed that surgical excision should be considered the gold standard treatment for umbilical endometriosis. Future studies should investigate the role of post-operative hormonal therapy, particularly in reducing the risk of symptom recurrence. |
format | Online Article Text |
id | pubmed-9779346 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-97793462022-12-23 Clinical Features and Management of Umbilical Endometriosis: A 30 Years’ Monocentric Retrospective Study Dridi, Dhouha Buggio, Laura Donati, Agnese Giola, Francesca Lazzari, Caterina Brambilla, Massimiliano Chiaffarino, Francesca Barbara, Giussy Int J Environ Res Public Health Article Introduction: Umbilical endometriosis (UE) is defined as the presence of endometrial-like tissue within the umbilicus and represents around 0.5–1% of all cases of endometriosis. UE is classified into primary or secondary UE. In this retrospective study, we aimed to assess symptoms, signs, recurrence rate of treated lesions, psychological wellbeing and health-related quality of life in women with UE. Material and methods: We retrospectively reviewed all cases of women diagnosed with UE in the period 1990–2021 in our center. Post-operative recurrence of UE was considered as the reappearance of the umbilical endometriotic lesion, or as the recurrence of local symptoms in the absence of a well-defined anatomical recurrence of the umbilical lesion. Moreover, participants were invited to fill in standardized questionnaires on their health conditions. Results: A total of 55 women with histologically proven UE were assessed in our center during the study period. At time of diagnosis, local catamenial pain and swelling were reported by 51% and 53.2% of women, respectively. A total of 46.8% of women reported catamenial umbilical bleeding. Concomitant non-umbilical endometriosis was identified in 66% of cases. As regards the treatment of UE, 83.6% of women underwent an en-bloc excision with histological confirmation of UE. During the follow-up period, 37 women (67.3%) agreed to undergo a re-evaluation. Recurrence of either umbilical symptoms, or umbilical nodule, was observed in 27% of patients, 11% of which did not receive post-operative hormonal therapy. Specifically, a recurrence of the umbilical endometriotic lesion was observed only in two women. Among the 37 women which we were able to contact for follow-up, 83.8% were satisfied with the treatment they had received. Conclusions: The high rate of patient satisfaction confirmed that surgical excision should be considered the gold standard treatment for umbilical endometriosis. Future studies should investigate the role of post-operative hormonal therapy, particularly in reducing the risk of symptom recurrence. MDPI 2022-12-14 /pmc/articles/PMC9779346/ /pubmed/36554635 http://dx.doi.org/10.3390/ijerph192416754 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Dridi, Dhouha Buggio, Laura Donati, Agnese Giola, Francesca Lazzari, Caterina Brambilla, Massimiliano Chiaffarino, Francesca Barbara, Giussy Clinical Features and Management of Umbilical Endometriosis: A 30 Years’ Monocentric Retrospective Study |
title | Clinical Features and Management of Umbilical Endometriosis: A 30 Years’ Monocentric Retrospective Study |
title_full | Clinical Features and Management of Umbilical Endometriosis: A 30 Years’ Monocentric Retrospective Study |
title_fullStr | Clinical Features and Management of Umbilical Endometriosis: A 30 Years’ Monocentric Retrospective Study |
title_full_unstemmed | Clinical Features and Management of Umbilical Endometriosis: A 30 Years’ Monocentric Retrospective Study |
title_short | Clinical Features and Management of Umbilical Endometriosis: A 30 Years’ Monocentric Retrospective Study |
title_sort | clinical features and management of umbilical endometriosis: a 30 years’ monocentric retrospective study |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9779346/ https://www.ncbi.nlm.nih.gov/pubmed/36554635 http://dx.doi.org/10.3390/ijerph192416754 |
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