Year 2019 / Volume 111 / Number 12
Letter
Umbilical metastasis of a pancreatic origin: Sister Mary Joseph’s nodule

977-978

DOI: 10.17235/reed.2019.6465/2019

Alberto Alejandro Marcacuzco Quinto, Oana Anisa Nutu, Iago Justo Alonso,

Abstract
An 84-year-old male patient presented with an umbilical mass. Upon examination, he had an umbilical lesion of approx. 2 cm that was nodular and painful on palpation. The abdominal CT showed a soft tissue mass of 20 x 22 mm in the umbilical subcutaneous tissue, associated with inflammatory changes. In addition, a hypodense tumor of 3.6 x 3.6 x 3.8 cm was seen located in the pancreatic tail, infiltrating the splenic hylum. Bloodwork revealed the following: haemoglobin 7.9 mg/dl, platelets: 175 x 100 /µl, prothrombin activity: 81%, INR: 1.13, Ca 19.9: 4289 U / ml, CEA: 4.38 ng / ml. The histopathological study of the umbilical lesion showed an adenocarcinoma with a moderately differentiated primary pancreatic origin, compatible with an umbilical metastasis of pancreatic cancer.
Share Button
New comment
Comments
No comments for this article
References
1. Jia-Wei L, Dong-Lai M. An ominous sign from sister Mary Joseph. Lancet 2018;392:776.
2. Petch S, Sobota A, Saadeh F. Sister Mary Joseph nodule: an unusual site for endometrioid cancer metastasis. BMJ Case Rep 2019; 12: e229187
3. Omura T, Tamara Y, Koder R, et al. Pancreatic cancer manifesting as Sister Mary Joseph nodule during follow up of a patient with type 2 diabetes mellitus: A case report. Geriatr Gerontol Int. 2019; 19:363-363.
4. Ozaki N, Takamori H, Baba H. Sister Mary Joseph’s nodule derived from pancreatic cancer. J Hepatobiliary Pancreat Sci. 2011; 18:119-21.
5. Vallejo C, Casamayor-Franco MC, Hakim S. Sister Mary Joseph’s nodule as initial pancreatic cancer manifestation. Rev Esp Enferm Dig. 2017; 109:167-168.
Related articles

Editorial

Pancreatic cancer screening in high-risk individuals

DOI: 10.17235/reed.2024.10635/2024

Editorial

Different trends in stomach and pancreatic cancer mortality rates

DOI: 10.17235/reed.2024.10504/2024

Letter

Ileal metastasis from phyllodes breast tumor

DOI: 10.17235/reed.2023.9958/2023

Digestive Diseases Image

Enteroenteric intussusception caused by a small bowel metastatic cutaneous melanoma

DOI: 10.17235/reed.2023.9876/2023

Digestive Diseases Image

Germ cell tumor with duodenal involvement: a rare case of gastrointestinal bleeding

DOI: 10.17235/reed.2022.9327/2022

Letter

Vaginal lesion as first manifestation of colorectal disease

DOI: 10.17235/reed.2022.9270/2022

Digestive Diseases Image

Intrabiliary metastasis of colorectal adenocarcinoma: the SPY perspective

DOI: 10.17235/reed.2022.9202/2022

Digestive Diseases Image

The sentinel polyp: high-grade sarcoma revealed after colonic polypectomy

DOI: 10.17235/reed.2022.9093/2022

Digestive Diseases Image

Imaging findings of melanoma metastasis in the gallbladder

DOI: 10.17235/reed.2021.8176/2021

Digestive Diseases Image

Metastatic melanoma of the gallbladder: an uncommon finding

DOI: 10.17235/reed.2020.6407/2019

Digestive Diseases Image

Metastasis of dermatofibrosarcoma diagnosed by capsule endoscopy

DOI: 10.17235/reed.2018.4900/2017

Letter to the Editor

Chronic diarrhea, weight loss and heart failure. Features of the same disease?

DOI: 10.17235/reed.2017.4874/2017

Letter to the Editor

A rare cause of intestinal bleeding: duodenal metastasis from endometrial cancer

DOI: 10.17235/reed.2017.4822/2017

Digestive Diseases Image

Debut of an unusual liver cirrhosis

Letter to the Editor

Liver metastasis from colorectal cancer 12 years after liver transplantation

DOI: 10.17235/reed.2017.4507/2016

Letter to the Editor

Sister Mary Joseph’s nodule as initial pancreatic cancer manifestation

DOI: 10.17235/reed.2016.4479/2016

Case Report

Primary esophageal melanoma: report of a case

DOI: 10.17235/reed.2016.3908/2015

Letter to the Editor

Duodenal involvement by seminomatous tumors

DOI: 10.17235/reed.2015.3646/2014

Letter to the Editor

Leiomyosarcoma of the ascending colon: a rare tumor with poor prognosis

DOI: 10.17235/reed.2015.3606/2014

Citation tools
Marcacuzco Quinto A, Nutu O, Justo Alonso I. Umbilical metastasis of a pancreatic origin: Sister Mary Joseph’s nodule. 6465/2019


Download to a citation manager

Download the citation for this article by clicking on one of the following citation managers:

Metrics
This article has received 896 visits.
This article has been downloaded 128 times.

Statistics from Dimensions


Statistics from Plum Analytics

Publication history

Received: 26/06/2019

Accepted: 20/07/2019

Online First: 29/11/2019

Published: 05/12/2019

Article Online First time: 156 days

Article editing time: 162 days


Share
This article has been rated by 2 readers.
Reader rating:
Valora este artículo:




Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
The Spanish Journal of Gastroenterology is the official organ of the Sociedad Española de Patología Digestiva, the Sociedad Española de Endoscopia Digestiva and the Asociación Española de Ecografía Digestiva
Cookie policy Privacy Policy Legal Notice © Copyright 2023 y Creative Commons. The Spanish Journal of Gastroenterology