Nihon Gekakei Rengo Gakkaishi (Journal of Japanese College of Surgeons)
Online ISSN : 1882-9112
Print ISSN : 0385-7883
ISSN-L : 0385-7883
CASE REPORTS
A Case of Descending Colon Cancer with Umbilical Metastasis (Sister Mary Joseph′s Nodule): a Review of Japanese Reports
Michitoshi GotoKoichiro NiwaYukihiro YaginumaMakoto TakahashiYutaka KojimaMasanobu TanakaHironobu SengokuAtsushi OkuzawaYuichi TomikiKazuhiro Sakamoto
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2010 Volume 35 Issue 5 Pages 793-798

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Abstract
Umbilical cancer metastasis known as Sister Mary Joseph′s nodule generally involves terminal cases. We report a case of descending colon cancer with umbilical metastasis together with a review of the literature.
A 70–year–old man with anemia detected in abdominal aortic aneurysm examination was followed by colonoscopy indicating advanced descending colon cancer involving a with festering umbilical tumor biopsy showed to be metastatic adenocarcinoma. Abdominal computed tomography (CT) showed an umbilical tumor 1.5 cm in diameter diagnosed as advanced descending colon cancer with an umbilical metastatic tumor. Partial colectomy and tumor resection at the umbilicus were followed by postoperative allopathy. The man died of peritonitis carcinomatosa 11 months postoperatively.
This condition must thus be considered in the detection of umbilical tumors.
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© 2010 Japanese College of Surgeons
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