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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">An otherwise healthy 45-year-old woman consulted for an umbilical lesion that had first appeared 4 months earlier&#46; The lesion was excrescent&#44; asymptomatic&#44; and with no evident fluctuations in size or bleeding&#46; The patient had regular menstrual periods and complained only of dysmenorrhea&#46; The physical examination revealed a well-defined&#44; hard&#44; brown nodular lesion measuring 15<span class="elsevierStyleHsp" style=""></span>mm that did not adhere to deep planes &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>A&#41;&#46; Dermoscopy revealed a round lesion with clear borders&#44; homogeneous violaceous pigmentation&#44; and a white reticular pattern in the central area &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>B&#41;&#46; The results of histopathology indicated cutaneous endometriosis&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Cutaneous endometriosis is an unusual presentation of endometriosis&#46; When it manifests as an umbilical nodule&#44; it is traditionally known as Villar nodule&#46; It typically takes the clinical form of a nodular lesion on a surgical scar&#44; its size fluctuates&#44; and it bleeds in line with the menstrual cycle&#46; Dermoscopy findings can range from a polymorphous vascular pattern over a milky-red or violaceous background to the absence of vascular structures on a bluish background with brown areas&#46; In the present case&#44; we observed a previously undescribed pattern involving a central white reticular pattern over a bluish background&#46; Therefore&#44; the main differential diagnosis should be with aneurysmal dermatofibroma&#44; although the Sister Mary Joseph nodule should also be taken into account&#46; Diagnosis should be confirmed with a histopathology workup&#46; The treatment of choice is surgery&#44; and prognosis is excellent&#46;</p></span>"
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