Umbilical Neoplasm

  • Mohamed Fahmy
Chapter

Abstract

Tumors of the umbilicus account for more than one-tenth of all malignant tumors that affect the skin of the anterior abdominal wall. It occurs frequently enough to have some diagnostic and prognostic value, and too rarely for most clinicians to gain acceptable experience with it. Umbilicus is not just a piece of skin, which may be affected by other skin neoplasm as any part of the body, but it is a specific structure with many embryonal remnants, as well as a complex braided lymphatic network drainage. Hence, primary malignant neoplasms affecting the umbilicus require a specific more radical surgical approach compared with other neoplasm.

Keywords

Sister Mary Joseph’s nodule Umbilical metastasis Adenocarcinoma Umbilical melanoma 

References

  1. 1.
    Amaro R, Goldstein JA, Cely CM. Pseudo Sister Mary Joseph’s nodule. Am J Gastroenterolo. 1999;94:1949–50.CrossRefGoogle Scholar
  2. 2.
    Barrow MV. Metastasis tumors of the umbilicus. J Chronic Dis. 1966;19:1113–7.CrossRefPubMedGoogle Scholar
  3. 3.
    Joylene DAlmeida J, Backthan L, Rao SV. Villar’s umbilical nodule: a rare case of umbilical endometriosis. JPGO 2015;2(8). http://www.jpgo.org/2015/08/villars-umbilical-nodule-rare-case-of.html.
  4. 4.
    Disputatio SD. Inauguralis. Medica de Uleribus Uteri. Jena: Krebs; 1690. p. 6–17.Google Scholar
  5. 5.
    Hartigan CM, Holloway BJ. MR imaging features of endometriosis at the umbilicus. Br J Radiol. 2005;78(932):755–7.CrossRefPubMedGoogle Scholar
  6. 6.
    Techapongsatorn S, Techapongsatorn S. Primary umbilical endometriosis. J Med Assoc Thail. 2006;89(10):1753–5.Google Scholar
  7. 7.
    Markham SM, Carpenter SE, Rock JA. Extrapelvic endometriosis. Obstet Gynecol Clin N Am. 1989;16:193–219.Google Scholar
  8. 8.
    Kodandapani S, Pai MV, Mathew M. Umbilical laparoscopic scar endometriosis. J Hum Reprod Sci. 2011;4(3):150–2.CrossRefPubMedPubMedCentralGoogle Scholar
  9. 9.
    Latcher JW. Endometriosis of the umbilicus. Am J Obstet Gynecol. 1953;66:161–8.CrossRefPubMedGoogle Scholar
  10. 10.
    Ploteau S, Malvaux V, Draguet AP. Primary umbilical adenomyotic lesion presenting as cyclical periumbilical swelling. Fertil Steril. 2007;88(Suppl 6):1674–5.CrossRefPubMedGoogle Scholar
  11. 11.
    De Giorgi V, Massi D, Mannone F, Stante M, Carli P. Cutaneous endometriosis: noninvasive analysis by epiluminescence microscopy. Clin Exp Dermatol. 2003;28:315–7.CrossRefPubMedGoogle Scholar
  12. 12.
    Fernandes H, Marla NJ, Pailoor K, Kini R. Primary umbilical endometriosis – diagnosis by fine needle aspiration. J Cytol. 2011;28:214–6.CrossRefPubMedPubMedCentralGoogle Scholar
  13. 13.
    Kyamidis K, Lora V, Kanitakis J. Spontaneous cutaneous umbilical endometriosis: report of a new case with immunohistochemical study and literature review. Dermatol Online J. 2011;17(7):5. http://escholarship.org/uc/item/3mj2444n PubMedGoogle Scholar
  14. 14.
    Schipper E, NezhatInt C. Video-assisted laparoscopy for the detection and diagnosis of endometriosis: safety, reliability, and invasiveness. J Women’s Health. 2012;4:383–93.Google Scholar
  15. 15.
    Di Giorgi V, Massi D, Mannone F, Stante M, Carli P. Cutaneous endometriosis: noninvasive analysis by epiluminescence microscopy. Clin Exp Dermatol. 2003;28(3):3157.CrossRefGoogle Scholar
  16. 16.
    Fedele L, Frontino G, Biachi S, Borruto F, Ciappina N. Umbilical endometriosis: a radical excision with laparoscopic assistance. Int J Surg. 2010;8(2):10911.CrossRefGoogle Scholar
  17. 17.
    Lee H, Kim KR. Intestinal endometriosis: clinicopathologic analysis of 15 cases including a case of endometrioid adenocarcinoma. Korean J Pathol. 2009;43(2):1205.Google Scholar
  18. 18.
    Kvaskoff M, Mesrine S, ClavelChapelon F, BoutronRuault MC. Endometriosis risk in relation to naevi, freckles and skin sensitivity to sun exposure: the French E3N cohort. Int J Epidemiol. 2009;38(4):114353.CrossRefGoogle Scholar
  19. 19.
    Case 12190 Abdominal wall endometriosis. https://www.researchgate.net/publication/266318248_Case_12190_Abdominal_wall_endometriosis. Accessed 22 Apr 2017.
  20. 20.
    Mulliken JB, Glowacki J. Hemangiomas and vascular malformations in infants and children: a classification based on endothelial characteristics. Plast Reconstr Surg. 1982;69:412–20.CrossRefPubMedGoogle Scholar
  21. 21.
    Alessandri JL, et al. Perlman syndrome: report, prenatal findings and review. Am J Med Genet A. 2008;146A:2532–7.CrossRefPubMedGoogle Scholar
  22. 22.
    Metry DW, Hebert AA. Benign cutaneous vascular when to worry, what to do. Arch Dermatol. 2000;136:905–14.CrossRefPubMedGoogle Scholar
  23. 23.
    Carson NB. Papilloma of the umbilicus. Ann Surg. 1917;65(2):199–201.CrossRefPubMedPubMedCentralGoogle Scholar
  24. 24.
    Zbid. Cutaneous remnants of the omphalomesenteric duct. Arch Derna. 1964;90:463.CrossRefGoogle Scholar
  25. 25.
    Nathan M. Umbilical warts: a new entity? Genitourin Med. 1994;70:49–50.PubMedPubMedCentralGoogle Scholar
  26. 26.
    Vijayabhaskar R, Sadasivam OL, Kirushnakumar KS. Papilloma of the umbilicus. Indian J Surg. 2014;76(4):329–30.CrossRefPubMedGoogle Scholar
  27. 27.
    Cullen TS. Embryology, anatomy and diseases of the umbilicus together with diseases of the Urachus. Philadelphia: W. B. Saunders Co.; 1916.Google Scholar
  28. 28.
    Nakamura Y, et al. Surgical management of umbilical basal cell carcinoma: published work review and the optimal depth of surgical excision. J Dermatol. 2014;41(11):992–5.PubMedGoogle Scholar
  29. 29.
    Ramirez P, et al. Umbilical basal cell carcinoma in a 21 year old man: report of an exceptional case and dermatoscopic evaluation. Dermatol Online J. 2011;17(1):1.Google Scholar
  30. 30.
    Etter L, Cook JL. Basal cell carcinoma of the umbilicus: a case report and literature review. Cutis. 2003;71(2):1236.Google Scholar
  31. 31.
    Zaccagna A, Siatis D, Pisacane A, Giacone E, Picciotto F. Surgical treatment of primary melanoma of the umbilicus with sentinel lymph node biopsy and plastic reconstruction: case report and review of the literature. Eur J Surg Oncol. 2011;37:233–6.CrossRefPubMedGoogle Scholar
  32. 32.
    Thompson JF, Scoyler RA, Kefford RF. Cutaneous melanoma. Lancet. 2005;365(9460):687701.CrossRefGoogle Scholar
  33. 33.
    Di Monta G, et al. Clinicopathologic features and surgical management of primary umbilical melanoma: a case series. BMC Res Notes. 2015;8:147.CrossRefPubMedPubMedCentralGoogle Scholar
  34. 34.
    Kakudo N, Kusumoto K, Fujimori S, Shimotsuma A, Ogawa Y. Reconstruction of a naturalappearing umbilicus using an island flap: case report. J Plast Reconstr Aesthet Surg. 2006;59(9):9991002.CrossRefGoogle Scholar
  35. 35.
    Song Y, Xu D, Sun L, Ding K, Hu Y, Yuanb Y. Diagnosis and management of primary umbilical melanoma with omphalitis features. Case Rep Oncol. 2013;6(1):154–7.CrossRefPubMedPubMedCentralGoogle Scholar
  36. 36.
    Trebing D, Göring HD. The umbilical metastasis. Sister Mary Joseph and her time. Hautarzt. 2004;55:186–9.CrossRefPubMedGoogle Scholar
  37. 37.
    Gabriele R, Conte M, Egidi F, Borghese M. Umbilical metastases: current viewpoint. World J Surg Oncol. 2005;3(1):13.CrossRefPubMedPubMedCentralGoogle Scholar
  38. 38.
    Dubreuil A, Dompmartin A, Barjot P, Louvet S, Leroy D. Umbilical metastasis or Sister Mary Joseph’s nodule. Int J Dermatol. 1998;37:70–3.CrossRefGoogle Scholar
  39. 39.
    Al-Mashat F, Sibiany AM. Sister Mary Joseph’s nodule of the umbilicus: is it always of gastric origin? A review of eight cases at different sites of origin. Indian J Cancer. 2010;47:65–9.CrossRefPubMedGoogle Scholar
  40. 40.
    Wilson I, Onuigbo B. Metastasis to the umbilicus: possible racial difference. J Natl Med Assoc. 1987;79(2):193–4.Google Scholar
  41. 41.
    Gabriele R, Borghese M, Conte M, Basso L. Sister Mary Joseph’s nodule as a first surgery of cancer of the caecum: report of a case. Dis Colon Rectum. 2004;47:115–7.CrossRefPubMedGoogle Scholar
  42. 42.
    Lombardi LE, Parsons L. Carcinoma of umbilicus metastatic from carcinoma of stomach. Ann Int Med. 1945;22:290.CrossRefGoogle Scholar
  43. 43.
    Panaro F, Andorno E, Di Domenico S, Morelli N, Bottino G, Mondello R. Sister Joseph’s nodule in a liver transplant recipient: case report and mini-review of literature. World J Surg Oncol. 2005;3:4.CrossRefPubMedPubMedCentralGoogle Scholar
  44. 44.
    Chalya PL, et al. Sister Mary Joseph’s nodule at a university teaching hospital in northwestern Tanzania: a retrospective review of 34 cases. World J Surg Oncol. 2013;11:151. http://www.wjso.com/content/11/1/151 CrossRefPubMedPubMedCentralGoogle Scholar
  45. 45.
    Rochet F, Francillon M. Cancer of umbilicus: metastasis from biliary tract. Lyon Med. 1942;167:239.Google Scholar
  46. 46.
    Abdulqawi R, Ahmad S, Ashawesh K. A rare cause of Sister Mary Joseph’s nodule. Swiss Med Wkly. 2007;137(39–40):559–60.PubMedGoogle Scholar
  47. 47.
    Powell FC, Cooper AJ, Massa MC, Goellner JR, Daniel Su WP. Sister Mary Joseph’s nodule: a clinical and histologic study. J Am Acad Dermatol. 1984;10:610–5.CrossRefPubMedGoogle Scholar
  48. 48.
    Hori T, et al. Hematogenous umbilical metastasis from colon cancer treated by palliative single-incision laparoscopic surgery. World J Gastrointest Surg. 2013;5(10):272–7.CrossRefPubMedPubMedCentralGoogle Scholar
  49. 49.
    Balakrishnan R, Rahman MA, Das A, Naznin B, Chowdhury Q. Sister Mary Jospeh’s nodule as initial presentation of carcinoma caecum-case report and literature review. J Gastrointest Oncol. 2015;6(6):E102–5.PubMedPubMedCentralGoogle Scholar

Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  • Mohamed Fahmy
    • 1
  1. 1.Pediatric SurgeryAl Azher University Pediatric SurgeryCairoEgypt

Personalised recommendations