A case of Sister Mary Joseph's nodule

Masashi Tsuruta; Hirotoshi Hasegawa; Hideki Nishibori; Yoshiyuki Ishii; Takashi Endo; Nobuhiro Nitori; Koji Okabayashi; Fumitaka Asahara; Makio Mukai; Masaki Kitajima

doi:10.5833/jjgs.40.517

A case of Sister Mary Joseph's nodule

Masashi Tsuruta, Hirotoshi Hasegawa, Hideki Nishibori, Yoshiyuki Ishii, Takashi Endo, Nobuhiro Nitori, Koji Okabayashi, Fumitaka Asahara, Makio Mukai, Masaki Kitajima

Research output: Contribution to journal › Article › peer-review

Abstract

A 70-year-old man presented with lower abdominal pain and a hard, 1.0-cm nodule on the upper edge of his umbilicus with a reddish appearance and tenderness. A physical examination showed an advanced carcinoma of the sigmoid colon with no other distant metastases, except for the umbilical one. The patient underwent a sigmoid colectomy and resection of the umbilical tumor. Histopathological examination revealed an umbilical metastasis of a moderately differentiated adenocarcinoma of the sigmoid colon. An umbilical metastasis from an internal malignancy is known as a Sister Mary Joseph nodule (SMJN) and has a very poor prognosis. Most studies show a survival period from the time of diagnosis of less than one year. On the other hand, some reports have concluded that aggressive surgery may improve survival. The possibility of umbilical metastasis from an intra-abdominal malignancy must be kept in mind when an umbilical nodule is encountered.

Original language	English
Pages (from-to)	517-521
Number of pages	5
Journal	Japanese Journal of Gastroenterological Surgery
Volume	40
Issue number	4
DOIs	https://doi.org/10.5833/jjgs.40.517
Publication status	Published - 2007 Apr

Keywords

Colon cancer
Sister Mary Joseph's nodule
Umbilical metastasis

ASJC Scopus subject areas

Surgery
Gastroenterology

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.5833/jjgs.40.517

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title = "A case of Sister Mary Joseph's nodule",

abstract = "A 70-year-old man presented with lower abdominal pain and a hard, 1.0-cm nodule on the upper edge of his umbilicus with a reddish appearance and tenderness. A physical examination showed an advanced carcinoma of the sigmoid colon with no other distant metastases, except for the umbilical one. The patient underwent a sigmoid colectomy and resection of the umbilical tumor. Histopathological examination revealed an umbilical metastasis of a moderately differentiated adenocarcinoma of the sigmoid colon. An umbilical metastasis from an internal malignancy is known as a Sister Mary Joseph nodule (SMJN) and has a very poor prognosis. Most studies show a survival period from the time of diagnosis of less than one year. On the other hand, some reports have concluded that aggressive surgery may improve survival. The possibility of umbilical metastasis from an intra-abdominal malignancy must be kept in mind when an umbilical nodule is encountered.",

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AU - Tsuruta, Masashi

AU - Hasegawa, Hirotoshi

AU - Nishibori, Hideki

AU - Ishii, Yoshiyuki

AU - Endo, Takashi

AU - Nitori, Nobuhiro

AU - Okabayashi, Koji

AU - Asahara, Fumitaka

AU - Mukai, Makio

AU - Kitajima, Masaki

PY - 2007/4

Y1 - 2007/4

N2 - A 70-year-old man presented with lower abdominal pain and a hard, 1.0-cm nodule on the upper edge of his umbilicus with a reddish appearance and tenderness. A physical examination showed an advanced carcinoma of the sigmoid colon with no other distant metastases, except for the umbilical one. The patient underwent a sigmoid colectomy and resection of the umbilical tumor. Histopathological examination revealed an umbilical metastasis of a moderately differentiated adenocarcinoma of the sigmoid colon. An umbilical metastasis from an internal malignancy is known as a Sister Mary Joseph nodule (SMJN) and has a very poor prognosis. Most studies show a survival period from the time of diagnosis of less than one year. On the other hand, some reports have concluded that aggressive surgery may improve survival. The possibility of umbilical metastasis from an intra-abdominal malignancy must be kept in mind when an umbilical nodule is encountered.

AB - A 70-year-old man presented with lower abdominal pain and a hard, 1.0-cm nodule on the upper edge of his umbilicus with a reddish appearance and tenderness. A physical examination showed an advanced carcinoma of the sigmoid colon with no other distant metastases, except for the umbilical one. The patient underwent a sigmoid colectomy and resection of the umbilical tumor. Histopathological examination revealed an umbilical metastasis of a moderately differentiated adenocarcinoma of the sigmoid colon. An umbilical metastasis from an internal malignancy is known as a Sister Mary Joseph nodule (SMJN) and has a very poor prognosis. Most studies show a survival period from the time of diagnosis of less than one year. On the other hand, some reports have concluded that aggressive surgery may improve survival. The possibility of umbilical metastasis from an intra-abdominal malignancy must be kept in mind when an umbilical nodule is encountered.

KW - Colon cancer

KW - Sister Mary Joseph's nodule

KW - Umbilical metastasis

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A case of Sister Mary Joseph's nodule

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

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