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Anine Maria Martin1, Michael Prangsgaard Møller1

  • 1Plastikkirurgisk Afdeling, Københavns Universitetshospital - Herlev Hospital.

Ugeskrift for Laeger
|March 6, 2024
PubMed
Summary
This summary is machine-generated.

Sister Mary Joseph nodule (SMJN) is a rare sign of metastatic cancer. This case report highlights umbilical metastasis from cecal adenocarcinoma, emphasizing the need for abdominal examination in patients with umbilical tumors.

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Area of Science:

  • Oncology
  • Dermatology
  • Surgical Pathology

Background:

  • Sister Mary Joseph nodule (SMJN) is an uncommon manifestation of visceral malignancy.
  • Umbilical metastases are rare and often indicate advanced intra-abdominal or pelvic cancer.

Observation:

  • A 69-year-old male presented with a cutaneous lesion at the umbilicus.
  • The patient was referred sequentially to general practice, dermatology, and plastic surgery for evaluation of the umbilical mass.

Findings:

  • Histopathological examination confirmed the umbilical lesion to be a metastasis from adenocarcinoma.
  • The primary tumor was identified as originating from the cecum, a part of the large intestine.

Implications:

  • Physicians should consider SMJN in the differential diagnosis of umbilical masses.
  • Clinical examination for an abdominal primary malignancy is crucial when an umbilical tumor is detected.