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Recent research into non-invasive biomarkers for cancer has grown exponentially, and subsequently, many techniques have been applied to endometriosis. Although improvements in imaging modalities such as ultrasound and magnetic resonance imaging (MRI) have made American Society for Reproductive Medicine (ASRM) Stage III-IV endometriosis increasingly able to be diagnosed without surgery,1, 2 ASRM Stage I-II endometriosis still requires a laparoscopy for diagnosis.
INTRODUCTION Endometriosis is a common, inflammatory gynaecological condition affecting women, non-binary and gender diverse people which can have detrimental impacts on quality of life.1 Combining clinically suspected and surgically confirmed diagnoses, estimates are endometriosis affects one in nine women.2 With limited research into endometriosis in Aotearoa New Zealand, our epidemiological understanding of endometriosis is based on international data.
Endometrioid carcinoma with a prominent squamous component has the ability to mimic pilomatrixoma. One previous case is documented of cutaneous metastasis in the upper limb derived from ovarian endometrioid carcinoma mimicking pilomatrixoma. Here, we describe a case of metastasis of endometrial endometrioid carcinoma in the distal vagina, treated with radiotherapy and later resected.
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