Umbilical endosalpingiosis: a case report

Abstract

Introduction: Endosalpingiosis describes the ectopic growth of Fallopian tube epithelium. Pathology confirms the presence of a tube-like epithelium containing three types of cells: ciliated, columnar cells; non-ciliated, columnar secretory mucous cells; and intercalary cells.We report the case of a woman with umbilical endosalpingiosis and examine the nature and characteristics of cutaneous endosalpingiosis by reviewing and combining the other four cases existing in the international literature.

Case presentation: A 50-year-old Caucasian, Greek woman presented with a pale brown nodule in her umbilicus. The nodule was asymptomatic, with no cyclical discomfort or variation in size. Her personal medical, surgical and gynecologic history was uneventful. An excision within healthy margins was performed under local anesthesia. A cystic formation measuring 2.7×1.7×1 cm was removed. Histological examination confirmed umbilical endosalpingiosis.

Conclusions: Umbilical endosalpingiosis is a very rare manifestation of the non-neoplasmatic disorders of the Müllerian system. It appears with cyclic symptoms of pain and swelling of the umbilicus, but not always. The disease is diagnosed using pathologic findings and surgical excision is the definitive treatment.

Figure 1

Unilocular cyst with papillary projections into the lumen (Hematoxylin and Eosin ×4).

Figure 2

Unilocular cyst with papillary projections into the lumen (Hematoxylin and Eosin ×10).

Figure 3

The lining of the cyst consisted of epithelium cells cuboidal and ciliate (Hematoxylin and Eosin ×40).

Figure 4

Immunohistochemical staining shows positivity for keratins AE1/AE3 (Keratins AE1/AE3 ×40).