Year 2017 / Volume 109 / Number 2
Letter to the Editor
Sister Mary Joseph’s nodule as initial pancreatic cancer manifestation

167-168

DOI: 10.17235/reed.2016.4479/2016

Cristina Vallejo Bernad, María Carmen Casamayor Franco, Sofía Hakim Alonso,

Abstract
We report the case of an 85-year-old female patient who presented with umbilical pain associated with an indurated growth, the whole being apparently consistent with incarcerated umbilical hernia, which prompted an urgent surgical procedure for its removal. The pathology study revealed dermal infiltration by a malignancy. Gland tumor cells expressed an immunohistochemical profile initially consistent with a pancreatic origin. In view of these findings a CT scan was performed, which revealed a pancreatic tail tumor as well as multiple hepatic metastasis. Skin metastasis is a rare sign usually reflecting a carcinoma of unknown origin. Umbilical skin metastasis, called Sister Mary Joseph´s nodule, reflect an intra-abdominal tumor, being pancreatic cancer strange.
Share Button
New comment
Comments
No comments for this article
References
Bai XL, Zhang Q, Masood W, et al. Sister Mary Joseph´s nodule as a first sign of pancreatic cancer. World J Gastroenterol 2012; 18: 6686-9.
Ozaki N, Takamori H, Baba H. Sister Mary Joseph´s nodule derived from pancreatic cancer. J Hepatobiliary Pancreat Sci 2011; 18: 119-21.
Espinel J, Pinedo E, Ojeda V, et al. Sister Mary Josphe´s nodule. Rev Esp Enferm Dig 2016; 2:97.
López-Corral F. Nódulo de la Hermana María José y cáncer de páncreas. Semergen 2011; 37(8).
Psarras K, Symeonidis N, Baltatzis M, et al. Umbilical metastasis as primary manifestation of cancer: a small series and review of the literature. J Clin Diagn Res 2014; 8(10): ND 17-9.
Citation tools
Vallejo Bernad C, Casamayor Franco M, Hakim Alonso S. Sister Mary Joseph’s nodule as initial pancreatic cancer manifestation. 4479/2016


Download to a citation manager

Download the citation for this article by clicking on one of the following citation managers:

Metrics
This article has received 132 visits.
This article has been downloaded 132 times.

Statistics from Dimensions


Statistics from Plum Analytics

Publication history

Received: 31/05/2016

Accepted: 11/06/2016

Online First: 23/12/2016

Published: 31/01/2017

Article Online First time: 206 days

Article editing time: 245 days


Share
This article hasn't been rated yet.
Reader rating:
Valora este artículo:




Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
The Spanish Journal of Gastroenterology is the official organ of the Sociedad Española de Patología Digestiva, the Sociedad Española de Endoscopia Digestiva and the Asociación Española de Ecografía Digestiva
Cookie policy Privacy Policy Legal Notice © Copyright 2023 y Creative Commons. The Spanish Journal of Gastroenterology