ID 110607
タイトルヨミ
テンイセイ サイガン Sister Mary Joseph’s nodule ノ 2レイ
タイトル別表記
Two cases of metastatic tumors of the umbilicus (Sister Mary Joseph’s nodule)
著者
正宗, 克浩 徳島県立海部病院外科
大田, 憲一 徳島県立海部病院外科
藤川, 和也 徳島県立海部病院外科
堀内, 雅文 徳島県立海部病院外科
キーワード
umbilical metastasis
Sister Mary Joseph’s nodule
pancreas cancer
gallbladder cancer
資料タイプ
学術雑誌論文
抄録
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.
掲載誌名
四国医学雑誌
ISSN
00373699
cat書誌ID
AN00102041
出版者
徳島医学会
59
3
開始ページ
153
終了ページ
158
並び順
153
発行日
2003-06-13
フルテキストファイル
言語
jpn
著者版フラグ
出版社版