Abstract
Background
Umbilical metastasis (Sister Mary Joseph’s nodule) is a rare physical sign seen only in 1–3 % of patients with an intra-abdominal and/or pelvic malignancy. Here, we present a case of Sister Mary Joseph’s (SMJN) nodule originating from a primary squamous cell carcinoma of the endometrium, a rare histological subtype.
Case history
SMJN was detected in a 30-year-old woman after a preoperative CT scan for a suspected umbilical hernia. Subsequent laparotomy and histopathological examination confirmed endometrial squamous cell carcinoma metastasizing to the umbilical region.
Conclusion
The SMJN may be the first presenting sign of an intra-abdominal and/or pelvic malignancy and may co-exist with an umbilical hernia. Therefore, malignancy should be considered one of the differentials of an umbilical mass.
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Abbreviations
- SMJN:
-
Sister Mary Joseph’s nodule
- PESCC:
-
Primary endometrial squamous cell carcinoma
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This case report did not receive any kind grant, logistic or financial support from any trust or organization.
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Rahman, M.T., Nakayama, K., Rahman, M. et al. Sister Mary Joseph’s nodule associated with rare endometrial squamous cell carcinoma. Arch Gynecol Obstet 286, 711–715 (2012). https://doi.org/10.1007/s00404-012-2356-9
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DOI: https://doi.org/10.1007/s00404-012-2356-9