González-Romero N, Aza-Martínez I, Cancho-Galán G, Gómez-Muga S, Urigoitia-Ugalde P, Izu-Belloso R

Language: Spanish
References: 9
Page: 139-143
PDF size: 328.18 Kb.

ABSTRACT

Sister Mary Joseph’s nodule (SMJN) is one of the differential diagnosis (DD) of an umbilical tumor. We present four cases of umbilical tumors. The first case is an 86-year-old woman with SMJN as a finding of an ovarian cancer. The second case, a 58-year-old male with anorexia, asthenia, and a SMJN as a finding of a signet-ring cell adenocarcinoma. The third case is a 79-year-old woman with an umbilical metastasis of an adenocarcinoma. Finally, a 60-year-old male operated for an umbilical hernia with two small erythematous nodules whose histological examination confirmed that it was a foreign body granuloma, SMJN-like. SMJN is an infrequent metastatic umbilical lesion secondary to a primary advanced intra-abdominal/intrapelvic malignancy. DD includes benign primary umbilical neoplasia (angioma, keloid), malignant primary neoplasm (basal cell epithelioma, etcetera) or other non-neoplastic lesion. The diagnosis is confirmed by a histological study. The most commonly related neoplasms are gastric or gynecological. SMJN is an ominous sign and the treatment is usually palliative. The role of the dermatologist is essential for the diagnosis of SMJN.

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