Arch Surg. 1925;11(5):684-689. doi:10.1001/archsurg.1925.01120170037004.
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Cullen,1 in his studies of diseases of the umbilicus, was among the first to call attention to a very interesting, though rather rare tumor of that region. A tumor occurring in the umbilical cicatrix of women between the ages of 35 and 45, reaching its full development within a few months after its appearance and characterized clinically by redness, swelling, pain and, in some instances, bleeding from the tumor at the menstrual period

In the cases described by Barker,2 Cullen,1 Giannettasio,3 Goddard,4 Green5 and Mintz,6 the tumors varied in diameter from 0.5 to 3 c.c. They projected from the umbilical depression and, in several instances, completely filled the cavity. They were covered with a normal appearing, though often pigmented, epithelium; occasionally, small cysts filled with bluish or brownish fluid could be seen beneath the surface. On section, the growths were fairly firm and


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