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Pancreatic Cancer with Umbilical Metastasis (Sister Mary Joseph's Nodule)


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Title: Pancreatic Cancer with Umbilical Metastasis (Sister Mary Joseph's Nodule)
Authors: Tokai, Hirotaka / Matsuo, Shigetoshi / Azuma, Takashi / Haraguchi, Masashi / Yamaguchi, Satoshi / Kanematsu, Takashi
Issue Date: Sep-2005
Citation: Acta medica Nagasakiensia. 2005, 50(3), p.123-126
Abstract: A 60-year-old woman was admitted to Nagasaki Prefectural Shimabara Hospital, with a painful tumor in her umbilical region. The tumor was about 1×1 cm in size. Histological examination of biopsied specimens revealed it to be a metastatic adenocarcinoma. Abdominal computed tomography and ultrasonography revealed a cystic tumor of about 23 mm in diameter in the pancreatic body. In addition, serum levels of cancer antigen 19-9 were elevated. With a tentative diagnosis of pancreatic tumor, she underwent surgery. When we opened her peritoneal cavity, there was no evidence of intra-abdominal disseminations, liver metastases or ascites. At that time, distal pancreatectomy accompanied by splenectomy was the procedure of choice. Histological examination revealed a moderately differentiated adenocarcinoma in the pancreatic body along with fatty replacement of the pancreatic tail. The umbilical tumor was a metastatic adenocarcinoma, which is referred to as a Sister Mary Joseph's nodule.
Keywords: Pancreaticcancer / Umbilicalmetastasis / SisterMaryJoseph'snodule
URI: http://hdl.handle.net/10069/9342
ISSN: 00016055
Relational Links: http://joi.jlc.jst.go.jp/JST.JSTAGE/amn/50.123
Type: Departmental Bulletin Paper
Text Version: publisher
Appears in Collections:Volume 50, No. 3

Citable URI : http://hdl.handle.net/10069/9342

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