Lazarova, Ana and Gligorievski, Antonio and Nevcev, Ivan (2020) Case of Sister Mary Joseph’s Nodule Inpatient Who Underwent A Whipple Procedure. Gastroenterology Medicine & Research. ISSN 2637-7632
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Abstract
Abstract
Sister Mary Joseph’s nodule (SMJN) is a metastatic malignancy of the umbilicus which indicates advanced,
metastatic disease. Sister Mary Joseph nodule or Sister Mary Joseph Sign refers to a palpable nodule
bulging into the umbilicus as a result of metastasis of cancer in the abdomen or the pelvis. It is a rare
occurrence, but it is a sign of abdominal cancer, most commonly an adenocarcinoma metastasis from
a gastrointestinal (gastric, colonic, pancreatic cancer) or gynecologic primary malignancy. We present
the case of a 61-year-old man with an acute, something less than 1cm in diameter non-tender mass
located in the umbilicus, diagnostic indication of an SMJN. This patient, 4 months before was diagnosed
with pancreatic carcinoma and underwent a Whipple procedure with pathophysiology result ofAdenocarcinoma capitis pancreatic pTNM= pT2 pN1 pMX. This little nodal change in the umbilicus was
an indication for further investigation so a computer tomography (CT) scan was done. Our findings are
discussed in the following case report.
Keywords: Umbilical nodule;Metastatic cancer;Intra-abdominal cancer;Pancreatic cancer; Sister mary
joseph nodule
| Item Type: | Article |
|---|---|
| Impact Factor Value: | 0.668 |
| Subjects: | Medical and Health Sciences > Clinical medicine |
| Divisions: | Faculty of Medical Science |
| Depositing User: | Antonio Gligorievski |
| Date Deposited: | 09 Feb 2021 06:56 |
| Last Modified: | 09 Feb 2021 06:56 |
| URI: | https://eprints.ugd.edu.mk/id/eprint/27676 |
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