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Sister Joseph umbilical nodule coexisting with endometriosis from endometrial carcinoma

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Abstract

A 58-year-old woman was diagnosed with endometrial carcinoma. Total hysterectomy, bilateral salpingo-oophorectomy and paraaortic and a pelvic lymph node dissection were performed. The cytology of peritoneal fluid was negative. There was no peritoneal dissemination except umbilical nodule. A peritoneal 2.0×1.5 cm umbilical nodule was also resected. The nodule was identified as a metastasis from endometrial cancer with endometriosis. The pelvic lymph nodes also showed metastatic lesion with endometriosis. Our case showed that endometriosis coexisted with umbilical and pelvic lymph nodal metastatic lesions from endometrial cancer. This fact suggests that the mode of metastasis to the umbilicus via lymph flow from endometrial cancer is the same as that for endometriosis.

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References

  1. Schwartz IS (1987) Sister (Mary?) Joseph’s nodule. N Engl J Med 316:1348–1349

    PubMed  CAS  Google Scholar 

  2. Barrow MV (1966) Metastatic tumours of the umbilicus. J Chronic Dis 19:1113–1117

    Article  PubMed  CAS  Google Scholar 

  3. Galvan V (1999) Sister Mary Joseph’s nodule: its clinical significance and management. An Med Interna 16:1949–1950

    Google Scholar 

  4. Ching AS, Lai CW (2002) Sonography of umbilical metastasis (Sister Mary Joseph’s nodule): from embryology to imaging. Abdom Imaging 27:746–749

    Article  PubMed  CAS  Google Scholar 

  5. Reingold IM (1966) Cutaneous metastases from internal carcinoma. Cancer 19:162–168

    Article  PubMed  CAS  Google Scholar 

  6. Insabato L, Pettinato G (1996) Endometriosis of the bowel with lymph node involvement. A report of three cases and review of the literature. Pathol Res Pract 192(9):957–961

    PubMed  CAS  Google Scholar 

  7. Horn LC, Bilek K (1995) Frequency and histogenesis of pelvic retroperitoneal lymph node inclusions of the female genital tract. An immunohistochemical study of 34 cases. Pathol Res Pract 191(10):991–996

    PubMed  CAS  Google Scholar 

  8. Brodland DG, Zitelli JA (1992) Mechanisms of metastasis. J Am Acad Dermatol 27:1–8

    Article  PubMed  CAS  Google Scholar 

  9. Sugarbaker PH (2001) Sister Mary Joseph’s sign. J Am Coll Surg 193(2):339–340

    Article  PubMed  CAS  Google Scholar 

  10. Majrmudar B, Wiskind AK, Croft BN, Dudley AG (1991) The Sister (Mary) Joseph nodule: its significance in gynecology. Gynecol Oncol 40:152–159

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology, Faculty of Medicine, Tokyo Women’s Medical University, 8-1 Kawada-cho, Shinjuku-ku, 162-8666, Tokyo, Japan

    Shun-ichi Ikeda, Masazumi Yajima, Kazuhide Hida, Minako Hattori, Shoko Shimizu, Izumi Umezaki, Toshio Nishikawa & Hiroaki Ohta

  2. Department of Surgical Pathology, Tokyo Women’s Medical University, Tokyo, Japan

    Toshio Nishikawa

Authors
  1. Shun-ichi Ikeda
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  2. Masazumi Yajima
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  3. Kazuhide Hida
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  4. Minako Hattori
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  5. Shoko Shimizu
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  6. Izumi Umezaki
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  7. Toshio Nishikawa
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  8. Hiroaki Ohta
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Correspondence to Shun-ichi Ikeda.

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Ikeda, Si., Yajima, M., Hida, K. et al. Sister Joseph umbilical nodule coexisting with endometriosis from endometrial carcinoma. Arch Gynecol Obstet 273, 250–252 (2006). https://doi.org/10.1007/s00404-005-0043-9

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  • DOI: https://doi.org/10.1007/s00404-005-0043-9

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