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Indian Journal of Medical and Paediatric Oncology
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CASE REPORT
Year : 2008  |  Volume : 29  |  Issue : 2  |  Page : 40-43

Sister Mary Joseph's nodule


1 Department of Radiotherapy, Bankura Sammilani Medical College, Bankura , West Bengal-700109, India
2 Department of Radiology, Bankura Sammilani Medical College, Bankura , West Bengal-700109, India
3 Department of Obstetrics and Gynecology, Bankura Sammilani Medical College, Bankura , West Bengal-700109, India

Correspondence Address:
Ranen Kanti Aich
Department of Radiotherapy, Bankura Sammilani Medical College, Bankura , West Bengal-700109
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-5851.51432

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Umbilical nodule, universally known as Sister Mary Joseph's Nodule, mostly is a metastatic manifestation of an underlying advanced malignant disease and is associated with a grave prognosis. Umbilical swelling due to any benign disease is called Pseudo Sister Mary Joseph's nodule. A 41- year-old woman presented with a gradually increasing peri-umbilical nodule. Fine needle aspiration cytology of the nodule proved to be metastatic adenocarcinoma and search for the primary revealed an advanced gastric malignancy. An apparently insignificant umbilical nodule, may be the only manifestation of an underlying advanced malignant disease and therefore clinicians should be aware of such nodule. Histological/cytological examination of such a nodule not only confirms the diagnosis but also helps the clinician to search for the possible primary site.


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