A newly published study about a 35-year-old woman with a case of crazy-insane-aggressive Endometriosis hit my inbox. I was going to fit it into a previously-written blog about hysterectomies and Endo or extra-pelvic Endo…but it was so fascinating that I decided to create today’s blog entry.
Initially, this young woman had abdominal surgery to remove her right ovary because of a ruptured ovarian cyst. She subsequently had three additional surgeries to excise Endometriomas (chocolate cysts) and adenomyosis via a total hysterectomy which also took both of her fallopian tubes and remaining ovary.
It’s about time I research more about Endometriosis being found in places other than your pelvic region. We’ve already covered lungs, spine, and eyes, and today we’re going to delve into cases of Endometriosis and skin. Skin? Yes, skin. I’ve read that it’s rare, just like the other areas outside of the pelvic cavity…but, it does occur. Some theorize it is implanted via the lymphatic orpro vascular systems; others think the cells are transplanted via surgery.
There seem to be two common categories of Endometriosis and the skin : spontaneous Endometriosis and scar Endometriosis. Spontaneous Endo simply appears in random places on healthy skin (cutaneous or subcutaneous). Scar Endo is found within scar tissue from prior surgeries or injuries. It appears that surgical excision/removal of the Endometriosis lesions from the skin is the most common and effective way of handling the lesions. Some surgeries may leave defects, which may (or may not) be repaired or rebuilt with a surgical mesh. Some studies suggest that hormonal treatment may be too harsh for the patient for solitary lesions.