Fungating sister mary joseph’s nodule as an initial manifestation of transverse colon adenocarcinoma
Journal Title: Scientific Journal of Medical Science - Year 2013, Vol 2, Issue 6
Abstract
Sister Mary Joseph’s nodule refers to a palpable umbilical metastasis secondary to underlying abdominopelvic malignancies (gastric, colonic, pancreatic, ovarian and uterine cancer). The clinical appearance varies from small nodule to a large fungating or ulcerated lesion. Proposed hypothesis for spread is through direct trans-peritoneal extension via lymphatic running along the obliterated umbilical vein, hematogenous spread or via median umbilical ligament or a remnant of the umbilical duct. Sister Mary Joseph nodule is associated with dismal prognosis. Here-in we present a case of 76 year old Saudi woman who presented with initial manifestation of Sister Marry Joseph’s nodule which subsequently diagnosed as case of underlying metastatic adenocarcinoma of transverse colon and was treated with systemic chemotherapy and radiotherapy to Sister Marry Joseph’s nodule.
Authors and Affiliations
M. A. Tunio*| Assistant Consultant, Radiation Oncology, Comprehensive Cancer Center, King Fahad Medical City, Riyadh-59046, Saudi Arabia., R. Akasha| Resident, Radiation Oncology, Comprehensive Cancer Center, King Fahad Medical City, Riyadh-59046, Saudi Arabia., M. AlAsiri| Consultant, Radiation Oncology, Comprehensive Cancer Center, King Fahad Medical City, Riyadh-59046, Saudi Arabia., K. Riaz| Resident, Radiation Oncology, Comprehensive Cancer Center, King Fahad Medical City, Riyadh-59046, Saudi Arabia.
Keywords
Related Articles
- EP ID EP1236
- DOI -
- Views 378
- Downloads 24
A safe and inexpensive technique of retrieval of gallbladder specimen after laparoscopy
Laparoscopic cholecystectomy is associated with greater chances of intra abdominal stone spillage and implantation and port site contamination when gallbladder specimen is retrieved without endobag. Economical sterile su...
Nephrosterinic acid inhibits the growth of murine malignant pleural sarcoma cells in vitro
We test the effects of Nephrosterinic acid, secondary metabolite of the lichen Solenospora liparina, on the growth of murine malignant pleural sarcoma cells in vitro. We find that Nephrosterinic acid is a potent inhibito...
Correlation between clinical and radiological grading of osteoarthritis
Primary knee Osteoarthritis is a common condition affecting human beings after fourth decade of life. The diagnosis is based on a) Clinical presentation alone or b) on clinical and radiological findings or c) on clinical...
Retrospective evaluation of humane brucellosis in the region of Prizren
Prizren and its region for years considered an endemic area for brucellosis. The first case occurred in 1980 in Dragash, but subsequently occurred in Prizren and Rahovec.Aim: Epidemiological features of human brucellosis...
Oesophageal varices in patients with liver cirrhosis
About one third of cirrhotic patients with oesophageal varices (OV) develops an episode of oesophageal hemorrhage, and subsequently has high morbidity and mortality. Early detection and prevention of OV in these patients...