ID 110607
Title Transcription
テンイセイ サイガン Sister Mary Joseph’s nodule ノ 2レイ
Title Alternative
Two cases of metastatic tumors of the umbilicus (Sister Mary Joseph’s nodule)
Author
Masamune, Katsuhiro Department of Surgery, Tokushima Prefectural Kaihu Hospital
Ohta, Kenichi Department of Surgery, Tokushima Prefectural Kaihu Hospital
Hujikawa, Kazuya Department of Surgery, Tokushima Prefectural Kaihu Hospital
Horiuchi, Masahumi Department of Surgery, Tokushima Prefectural Kaihu Hospital
Keywords
umbilical metastasis
Sister Mary Joseph’s nodule
pancreas cancer
gallbladder cancer
Content Type
Journal Article
Description
The nodular umbilical metastasis of the visceral carcinoma has been termed the “SisterMary Joseph’s nodule” (SMJN), and is one of signs of a terminal condition. There are variousroutes of metastasis according to anatomical and embryological specificity. We reporttwo cases of metastatic adenocarcinoma of the umbilicus, and also reviewed the 108 cases ofSNJN that have been reported in Japan.The patients were 49 year-old man and 84 year-old woman who were referred to ourhospital with umbilical nodules. Examination by computed tomographies, a biopsy and anextirpation of umbilical nodules showed that the primary malignancies were the pancreascancer and the gallbladder cancer.Of 110 SMJN cases in Japan, thirty-one were men and seventy-six were women, and theprimary focus was found in the stomach (45/103 : 39%), ovarium (18/103 : 13%), pancreas (14/103 : 15%) or colon (11/103 : 12%). In fifty-two cases (52/94 : 55%), initial presentation of theinternal organ carcinoma was an umbilical nodule.It is generally reported that the prognosis of the patient with SMJN is extremely poor,but a few cases get the long survival after extirpation of SMJN. In order to decide propertreatment and prognosis, it is necessary us to further examine the primary malignancy andthe route of metastasis for the SMJN patient.
Journal Title
四国医学雑誌
ISSN
00373699
NCID
AN00102041
Publisher
徳島医学会
Volume
59
Issue
3
Start Page
153
End Page
158
Sort Key
153
Published Date
2003-06-13
FullText File
language
jpn
TextVersion
Publisher