5
views
0
recommends
+1 Recommend
0 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Ovarian Cancer Was Discovered in Sister Mary Joseph's Nodule

      case-report

      Read this article at

      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Introduction

          Sister Mary Joseph's nodule (SMJN) is a rare illness characterized by an umbilical mass caused by tumor metastases in the abdomen or pelvis. The most common main site of SMJN in women is ovarian cancer. Case Presentation. A 73-year-old woman with no pathological history came to our emergency room with a one-month history of umbilicus enlargement. A 9-centimeter uncomfortable umbilical swelling with hard consistency was discovered during a clinical examination. An ovarian tumor with several local expansions was seen on an abdominal CT scan. It was linked to peritoneal metastases, one of which extends via a supraumbilical hernial orifice and into intestinal tissues in the same hernia sac. The umbilical tumor was removed from the patient. A moderately differentiated serous carcinoma with ovarian origin was identified in a periumbilical site on histological testing.

          Conclusion

          The presence of an SMJN is a rare but significant issue that clinicians must examine because it is associated with a bad prognosis. Early detection and diagnosis of the original lesion can lead to more effective treatment and a higher rate of survival.

          Related collections

          Most cited references11

          • Record: found
          • Abstract: found
          • Article: found
          Is Open Access

          Umbilical metastases: current viewpoint

          Background Umbilical metastases from a malignant neoplasm, also termed Sister Mary Joseph's nodule, are not commonly reported in the English literature, and they have usually been considered as a sign of a poor prognosis for the patient. The present article reports on the current view point on umbilical metastasis besides discussing the epidemiology, clinical presentation, pathophysiology and treatment. Method A search of Pubmed was carried out using the term 'umblic*' and 'metastases' or metastasis' revealed no references. Another search was made using the term "Sister Joseph's nodule" or sister Joseph nodule" that revealed 99 references. Of these there were 14 review articles, however when the search was limited to English language it yielded only 20 articles. Articles selected from these form the basis of this report along with cross references. Results The primary lesions usually arise from gastrointestinal or genitourinary tract malignancies and may be the presenting symptom or sign of a primary tumour in an unknown site. Conclusion A careful evaluation of all umbilical lesions, including an early biopsy if appropriate, is recommended. Recent studies suggest an aggressive surgical approach combined with chemotherapy for such patients may improve survival.
            Bookmark
            • Record: found
            • Abstract: not found
            • Article: not found

            Metastatic tumors of the umbilicus.

              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Umbilical metastasis: a case series of four Sister Joseph nodules from four different visceral malignancies.

              Sister Joseph nodule is a metastatic umbilical lesion secondary to a primary malignancy of any viscera. It can be a presenting symptom (a sign of undiagnosed malignancy) or a symptom or sign of progression or recurrence in a known case. Its incidence is 1%-3% of all intra-abdominal or pelvic malignancies. Here, we present 4 such cases, with Sister Joseph nodule as a finding ofpresentation in a case of gallbladder carcinoma,progression in a case of malignant gastrointestinal stromal tumour,recurrence in a case of ovarian carcinoma, andpresentation in a case of rectal carcinoma.The clinicopathologic features of all 4 patients are discussed, and the related literature is briefly reviewed.
                Bookmark

                Author and article information

                Contributors
                Journal
                Case Rep Med
                Case Rep Med
                CRIM
                Case Reports in Medicine
                Hindawi
                1687-9627
                1687-9635
                2022
                29 June 2022
                : 2022
                : 5131705
                Affiliations
                1Department of Gynecology and Obstetrics, University Hospital Farhat Hached, Faculty of Medicine Ibn Al Jazzar, University of Sousse, Sousse, Tunisia
                2Pathology Department, University Hospital Farhat Hached, Faculty of Medicine Ibn Al Jazzar, University of Sousse, Sousse, Tunisia
                Author notes

                Academic Editor: Pablo Fernandez Pe as

                Author information
                https://orcid.org/0000-0003-3126-2233
                Article
                10.1155/2022/5131705
                9259374
                5b7a4238-b6d0-4948-bc9f-1a28c1d9e2e9
                Copyright © 2022 Mouna Kouira et al.

                This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 9 April 2022
                : 17 May 2022
                : 14 June 2022
                Categories
                Case Report

                Comments

                Comment on this article