DECIDUALIZED UMBILICAL ENDOMETRIOSIS

A case of umbilical endometriosis is presented to highlight the challe nges in its diagnosis. The etiology, clinical findings, histologic eva luation, prognosis and treatment options are discussed. While cyclic s ymptomatology may lend evidence to the diagnosis of umbilical endometr iosis, history and clinical findings are often equivocal. Decidualizat ion of umbilical endometriosis can be initially confused with a malign ant process on histologic evaluation. The potential for malignant dege neration appears low. Surgical intervention is the treatment of choice .