“…Peri-umbilical metastases are uncommon symptoms of advanced cancers mostly abdominal locations (typically stomach, large bowel, and ovary) [1]. The term is named after Sister Mary Joseph, she was a nurse at Saint Mary's hospital; she recognized that patients with an umbilical lump often died from cancer [2]. This case report describes an 82-year-old male, diagnosed with metastatic pancreatic adenocarcinoma and confi rmed by the biopsy of Sister Mary Joseph's nodule.…”