Sister Mary Joseph’s nodule as the first sign of pregnancy-associated gastric cancer: A case report

Fill, Sara; Taran, A; Schulz, Hans–Ulrich; Kahl, Stefan; Kalinski, Thomas; Smith, Bobbie; Costa, Serban-Dan

doi:10.3748/wjg.14.951

Cited by 15 publications

(14 citation statements)

References 18 publications

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“…Décrit par soeur Marie-Joseph Dempsey, infirmière opéra-toire de William J. Mayo à Rochester (Minnesota), chez un [1,4,5]. Il représente 30 % des tumeurs ombilicales.…”

Section: Discussionunclassified

“…L'implantation ombilicale s'explique par la dissémination veineuse, lymphatique ou la migration tumorale le long du ligament rond [1]. Il s'agit d'un nodule ombilical d'aspect varié [1][2][3][4][5][6][7][8][9]. Il peut être ferme, indolore, irrégulier, non battant et non infiltrant, ulcéré ou suintant [3,[6][7][8].…”

Section: Discussionunclassified

“…Il s'agit d'un nodule ferme localisé au niveau de l'ombilic, et dont le diagnostic différentiel doit être fait avec une hernie ombilicale, une endométriose cutanée, un sarcome, un carcinome épidermoïde, un lymphangiome, un granulome ou un lipome [1][2][3]. Elle représente un mode de survenue de tumeurs abdominales dont la plupart sont représentées par les adénocarcinomes gastriques [1][2][3][4][5][6][7][8][9]. L'objectif de notre travail est de rapporter un cas exceptionnel d'une tumeur ombilicale type Soeur MarieJoseph, survenue chez un patient âgé de 61 ans, avec décou-verte secondaire d'un adénocarcinome de la tête du pancréas.…”

Section: Introductionunclassified

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La tumeur de Sœur Marie-Joseph, un mode de révélation tardive d’une tumeur du pancréas: à propos d’un cas

et al. 2010

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Le nodule de Soeur Marie-Joseph est une entité rare. Elle représente un mode de découverte de tumeurs abdominales dont la plupart sont représentées par les adénocarci-nomes gastriques. Nous rapportons un cas exceptionnel d'une tumeur ombilicale type Soeur Marie-Joseph survenue chez un patient de 61 ans, sans antécédents particuliers. Il s'agissait d'un mode de révélation tardive d'un adénocarci-nome de la tête du pancréas. La clinique notait un nodule ombilical prurigineux et fistulisé sans altération de l'état géné-ral. Le scanner abdominal retrouvait une masse tissulaire en continuité avec les muscles grands droits. La cytoponction était en faveur d'un carcinome envahissant la paroi abdominale. Le patient avait bénéficié d'une résection tumorale emportant les muscles larges, grands droits de l'abdomen, et le péritoine pariétal, suivie d'une reconstruction pariétale. Elle utilisait deux plaques prothétiques reposant sur l'épiploon suturé aux berges de résection de la paroi abdominale, la fermeture cutanée étant réalisée grâce à six lambeaux de rotation. Les suites opératoires étaient marquées, huit mois plus tard, par la découverte d'une tumeur de la tête du pancréas. Le patient décédait trois semaines après une tentative de drainage biliaire par cholangiopancréatographie rétrograde endoscopique (CPRE). Mots clés Nodule Soeur Marie-Joseph · Adénocarcinome du pancréasAbstract Sister Marie-Joseph nodule is a rare presentation. It is a circumstance of diagnosis of abdominal tumors of which gastric adenocarcinoma are predominant. We report an exceptional case of umbilical tumor of Sister Marie-Joseph type that occurs in a 61-year-old patient with no known medical history. It was a late presentation of an adenocarcinoma of the head of the pancreas. Clinical examination found an umbilical nodule with fistulae and itchiness, without deterioration of the general status. CT scan showed a solid mass in continuity with the rectus muscle. Cytopuncture suggested a carcinoma invading the abdominal wall. The patient underwent removal of the tumor with a resection of the rectus, transverse, and oblique muscles and the peritoneum followed by parietal reconstruction. The reconstruction used two prosthetic plaques lying on the epiploon and sutured to the edges of the abdominal wall resection. Cutaneous closure used 6 rotating flaps. Eight months postoperatively, we discovered a tumor of the head of the pancreas. The patient died 3 days following an attempt to an endoscopic biliary diversion after a retrograde cholangiopancreatography.

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“…Décrit par soeur Marie-Joseph Dempsey, infirmière opéra-toire de William J. Mayo à Rochester (Minnesota), chez un [1,4,5]. Il représente 30 % des tumeurs ombilicales.…”

Section: Discussionunclassified

Section: Introductionunclassified

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La tumeur de Sœur Marie-Joseph, un mode de révélation tardive d’une tumeur du pancréas: à propos d’un cas

et al. 2010

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“…Theirs was the only major study in western countries, and subsequent reports have been sporadic. [8][9][10][11][12][13][14][15] On the other hand, owing in part to the relatively high incidence of gastric cancer in Japan, more than 100 cases have been reported in this country. Ueo et al 2 conducted an analysis of 100 cases of pregnancy-associated gastric cancer in Japan collected until 1987, and described the characteristics of pregnancy-associated gastric cancer as follows:…”

Section: Reviewmentioning

confidence: 99%

Management of patients with pregnancy-associated gastric cancer in Japan: a mini-review

et al. 2009

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Gastric cancer associated with pregnancy is quite rare, and is most often diagnosed at an advanced stage. Furthermore, physicians are confronted with two conflicting issues in this condition: the need for early treatment of the maternal gastric cancer and the continuation of the pregnancy. To clarify the characteristics of pregnancy-associated gastric cancer and to obtain useful information that would help us choose the best treatment strategy for pregnancy-associated gastric cancer, we reviewed the existing literature, using the key words "pregnancy" and "gastric cancer". We were able to accumulate 136 cases, including 100 cases reported previously in Japan, and 1 case that we report here. We analyzed a total of 137 cases in the present study. With respect to the stage of gastric cancer, 92.5% of the patients studied had advanced gastric cancer, and only 45.3% of the patients underwent gastrectomy, including incomplete resection. Accordingly, the prognosis was very poor; the 1- and 2-year survival rates were 18.0% and 15.1%, respectively. However, the number of patients found to have early gastric cancer by endoscopic examination has been increasing recently. An endoscopic examination should be conducted immediately in pregnant patients presenting with persistent gastrointestinal symptoms for the differential diagnosis of hyperemesis gravidarum. When an endoscopic examination reveals that pregnant patients have gastric cancer, a therapeutic plan should be promptly formulated, in accordance with the number of weeks of gestation, by a medical team consisting of specialists in perinatal obstetrics and gastric cancer specialists.

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“…The internal mammary veins accept a network of small vessels and continue cranially, emptying into the axillary vein. [11][12][13][14][15] Finally, small veins are connected to the portal system by way of the ligamentum teres. 10 Lymphatic System.…”

Section: -15mentioning

confidence: 99%

Sister Mary Joseph Nodule

Gibbs

2012

Journal of Diagnostic Medical Sonography

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A Sister Mary Joseph nodule (SMJN) is a malignancy located in the periumbilical region. Often misinterpreted as a simple hernia, it is associated with advanced metastatic cancer. First reported in 1846, its primary sources include the gastrointestinal system and female reproductive sites. The most common origins include gastrointestinal (52%), gynecologic (28%), stomach (23%), and ovarian (16%). The presence of SMJN usually indicates widespread disease and is associated with a poor prognosis and complex therapeutic implications, with average patient survival of only 10 to 11 months after diagnosis. This report demonstrates the capability of sonography to evaluate soft tissue periumbilical masses, describes their sonographic appearance, and evaluates the utility of sonography to accurately locate the SMJN for biopsy.

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Sister Mary Joseph’s nodule as the first sign of pregnancy-associated gastric cancer: A case report

Cited by 15 publications

References 18 publications

La tumeur de Sœur Marie-Joseph, un mode de révélation tardive d’une tumeur du pancréas: à propos d’un cas

La tumeur de Sœur Marie-Joseph, un mode de révélation tardive d’une tumeur du pancréas: à propos d’un cas

Management of patients with pregnancy-associated gastric cancer in Japan: a mini-review

Sister Mary Joseph Nodule

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