Forgotten node: A case report

Abstract

Sister Mary Joseph nodule or node refers to a palpable nodule bulging into the umbilicus and is usually a result of a malignant cancer in the pelvis or abdomen. Traditionally it has been considered a sign of ominous prognosis. Gastrointestinal malignancies, most commonly gastric, colon and pancreatic cancer account for about 52% of the underlying sources. Gynecological cancers, most commonly ovarian and uterine cancers account for about 28% of the sources.

Hematogenous umbilical metastasis from colon cancer treated by palliative single-incision laparoscopic surgery

“…SMJN is a rare nodule of the umbilicus that develops secondary to metastatic cancer [1,6] . Primary malignancies are usually located in the abdomen or pelvis [7][8][9][10][11] . SMJN is associated with a grave prognosis [9,12] .…”

“…Primary malignancies are usually located in the abdomen or pelvis [7][8][9][10][11] . SMJN is associated with a grave prognosis [9,12] . We herein report a case of SMJN originating from colon cancer.…”

“…Metastatic route to umbilicus is so complicate [26][27][28][29][30] , and it seems difficult to establish the haematogenic route. We just speculated that our SMJN maybe and ovary and less frequently from the uterus, cervix, gallbladder, and small intestine [7][8][9][10][11]13] . In addition, diagnostic characteristics and imaging findings have been described [10,[14][15][16][17][18] .…”

“…In addition, diagnostic characteristics and imaging findings have been described [10,[14][15][16][17][18] . SMJN is associated with a grave prognosis [9,12] . Our case also had a poor prognosis.…”

“…Metastatic lesions can reach mainly occur via haematogenic pathway. The presence of SMJN is often a poor prognostic factor because affected patients have advanced metastatic disease at the time of initial diagnosis [9,12] . The average survival time after the appearance of an SMJN is reportedly 10-11 mo [12] .…”