Résumé
Le nodule de Sœur-Marie-Joseph est une métastase cutanée ombilicale d’un cancer profond. Les auteurs rapportent l’observation d’une telle lésion chez une Sénégalaise de 68 ans. Ce nodule, associé à des métastases hépatiques et péritonéales probables, était secondaire à un adénocarcinome du côlon transverse. L’évolution chez cette patiente était défavorable. Il s’agit d’une manifestation clinique rare. L’anatomopathologie, après la ponction à l’aiguille fine de la biopsie, en apporte la certitude diagnostique. Son pronostic est en général péjoratif malgré des moyennes de plus en plus importantes grâce aux progrès thérapeutiques.
Abstract
The Sister-Marie-Joseph nodule is an umbilical cutaneous metastasis of a deep cancer. The authors report a case presenting in a 68-year-old Senegalese woman. This nodule, associated with probable hepatic and peritoneal metastases, was secondary to an adenocarcinoma of the transverse colon. The evolution in this patient was unfavourable. Such clinical cases are rare. Anatomopathology after fine needle aspiration biopsy confirms the diagnosis. The prognosis is generally poor, despite increasingly significant means and progress in treatment options.
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Références
Srinivasan R, Ray R, Nijhawan R (1993) Metastatic cutaneous and subcutaneous deposits from internal carcinoma. An analysis of cases diagnosed by fine needle aspiration. Acta Cytol 6:894–888
Gabriele R, Borghese M, Conte M, Basso L (2004) Sister-Mary-Joseph’s nodule as a first sign of cancer of the cecum: report of a case. Dis Colon Rectum 1:115–117. Epub 2004 Jan 05
Turquin T, Cowpli BP, Kouame J, et al (1996) Métastase ombilicale des tumeurs viscérales: à propos de deux cas. Med Afr Noire 10:556–558
Poncelet C, Bouret JM, Boulay I, et al (1996) Umbilical metastasis of an endometrial adenocarcinoma: “Sister-Mary-Joseph’s nodule”. Review of the literature. J Gynecol Obstet Biol Reprod 8:799–803
Mallya MV, Mandrekar S, Nadkarani NS, et al (1995) Sister-Mary-Joseph’s nodule: diagnosis of umbilical metastases by fine needle aspiration. Indian J Pathol Microbiol 1:95–98
Gupta RK, Naran S, McHutchison AG, et al (1994) Diagnosis of umbilical metastasis (Sister-Mary-Joseph’s nodule) by fine needle aspiration: an immunocytochemical study. Diagn Cytopathol 2:126–129
Chapgar A, Carter JW (1998) Lymphoma presenting as a Sister-Mary-Joseph’s nodule. Am Surg 8:799–800
Dornier C, Reichert-Penetrat S, Barbaud A, et al (2000) Lymphoma presenting as Sister-Mary-Joseph’s nodule. Ann Dermatol Venereol 8–9:732–734
Giner Galvan V (1999) Sister-Mary-Joseph’s nodule. It’s clinical significance and management. Ann Med Intern 7:365–370
Galvan VG (1998) Sister-Mary-Joseph nodule. Ann Intern Med 5:410
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NDiaye, A.R., Fall, F., NDiaye, B. et al. Un cas rare de métastase ombilicale de tumeur viscérale. Éponyme: nodule de Sœur-Marie-Joseph. J Afr Hepato Gastroenterol 3, 29–31 (2009). https://doi.org/10.1007/s12157-009-0062-4
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DOI: https://doi.org/10.1007/s12157-009-0062-4