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THROUGH THE LENS
Year : 2015  |  Volume : 6  |  Issue : 5  |  Page : 372  

Sister Mary Joseph's nodule


Department of Radiotherapy, All India Institute of Medical Sciences, New Delhi, India

Date of Web Publication4-Sep-2015

Correspondence Address:
Shikha Goyal
Department of Radiotherapy, All India Institute of Medical Sciences, New Delhi - 110 029
India
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Source of Support: Nil, Conflict of Interest: None declared.


DOI: 10.4103/2229-5178.164472

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How to cite this article:
Goyal S, Julka PK. Sister Mary Joseph's nodule. Indian Dermatol Online J 2015;6:372

How to cite this URL:
Goyal S, Julka PK. Sister Mary Joseph's nodule. Indian Dermatol Online J [serial online] 2015 [cited 2019 Dec 9];6:372. Available from: http://www.idoj.in/text.asp?2015/6/5/372/164472

A 45-year-old man presented with a history of early satiety, abdominal fullness and generalized fatigue since six months. He gave a past history of intestinal obstruction two years ago for which he had undergone a bowel resection. Intraoperative findings included an obstructive growth involving proximal jejunum, with splenic adhesions. Postoperative histopathology had revealed an adenocarcinoma with transmural infiltration for which he received six months of adjuvant chemotherapy. Current abdominal examination revealed a surgical scar over the left hypochondrium with a raised nodule at medial end and ascites. Additionally, he had a firm, ulcerating 4 cm × 3 cm nodule just above his umbilicus. [Figure 1] Fine needle aspiration cytology from the nodule showed an adenocarcinoma compatible with recurrence of his previous malignancy. Sir Hamilton Bailey first termed such umbilical metastatic lesions as "Sister Mary Joseph's nodule" in 1949. Though uncommon, they often offer the first clue to an advanced intraabdominal malignancy, most common sites being the stomach and ovary.
Figure 1: Photograph of the abdomen showing an ulcerating tumor nodule superior to the umbilicus. Another nodule is noted at the medial end of the postoperative scar over left upper abdomen

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