Pseudomyxoma peritonei: a rare presentation as an umbilical nodule
N Srinivasaiah1, G Retnasingam, R Kasarneni
1Department of General Surgery, North Tyneside General Hospital, Rake Lane, North Shields, NE29 8NH, UK. simha_anu@yahoo.com
Irish Journal of Medical Science
|January 29, 2008
Summary
Umbilical nodules can signal advanced cancer. This case highlights Pseudo Myxoma Peritonei (PMP) presenting as an umbilical nodule, emphasizing its importance in differential diagnosis for unusual mucinous collections.
Area of Science:
- Oncology
- Gastroenterology
- Pathology
Background:
- Umbilical nodules are rare but can be the sole indicator of advanced intra-abdominal malignancy.
- Metastatic umbilical involvement, described by Sister Mary Joseph, links carcinomas to umbilical nodes.
Observation:
- A case of Pseudo Myxoma Peritonei (PMP) in a 31-year-old male presenting with a subcutaneous, non-tender umbilical nodule is reported.
- The presence of mucoid material in unusual locations like the umbilicus warrants careful differential diagnosis.
Findings:
- Review of clinical notes, operative findings, imaging, and histopathology confirmed PMP.
- Literature search provided insights into the incidence, pathophysiology, presentation, and treatment of this neoplastic process.
Implications:
- Pseudo Myxoma Peritonei (PMP) must be considered in the differential diagnosis of mucinous collections in unusual sites, including the umbilicus.
- Early recognition and diagnosis of umbilical metastases are crucial for managing advanced intra-abdominal malignancies.
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