Sister Mary Joseph's nodule from advanced ovarian carcinoma / 대한산부인과학회지
Korean Journal of Obstetrics and Gynecology
;
: 682-685, 2008.
Article
in English
| WPRIM
| ID: wpr-209365
ABSTRACT
Umbilical metastasis may be the first presenting sign of the disease, or an indication of a recurrence from a previous malignancy. We recently encountered a 19-year-old woman with advanced ovarian adenocarcinoma whose first sign was having a Sister Mary Joseph's nodule. This patient only presented an umbilical nodule with slight lower abdominal discomfort, without any other subjective symptom. The lesion was fresh red, firm, ulcerating and has 1.5 cm in diameter. A punch biopsy from the lesion revealed metastatic adenocarcinoma and a PET-CT scan showed hypermetabolism on the umbilicus. After a systemic evaluation, she had a laparotomy including right salpingo-oophorectomy, total omentectomy, pelvic and paraaortic lymphadenectomy, appendectomy, and extirpation of the umbilicus. The patient received a postoperative combination of chemotherapy with paclitaxel and carboplatin, and still remains alive. This case demonstrates the importance of careful evaluation of any umbilical lesion and pathologic examination.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Appendectomy
/
Recurrence
/
Ulcer
/
Umbilicus
/
Biopsy
/
Adenocarcinoma
/
Carboplatin
/
Paclitaxel
/
Siblings
/
Sister Mary Joseph's Nodule
Limits:
Female
/
Humans
Language:
English
Journal:
Korean Journal of Obstetrics and Gynecology
Year:
2008
Type:
Article
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