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A long-term survival case of Sister Mary Joseph's nodule caused by colon cancer and treated with a multidisciplinary approach.

Authors
  • Iwata, Yoshinori1, 2
  • Kinoshita, Takashi1
  • Kimura, Kenya1
  • Komori, Koji1
  • Hayashi, Daisuke1
  • Akazawa, Tomoyuki1
  • Shigeyoshi, Itaru1
  • Tsutsuyama, Masayuki1
  • Kawakami, Jiro1
  • Ouchi, Akira1
  • Natsume, Seiji1
  • Uemura, Norihisa1
  • Ito, Yuichi1
  • Misawa, Kazunari1
  • Senda, Yoshiki1
  • Abe, Tetsuya1
  • Ito, Seiji1
  • Tajika, Masahiro3
  • Yatabe, Yasushi4
  • Yoshida, Kazuhiro2
  • And 1 more
  • 1 Department of Gastroenterological Surgery, Aichi Cancer Center Hospital, Nagoya, Japan. , (Japan)
  • 2 Department of Surgical Oncology, Gifu University School of Medicine, Gifu, Japan. , (Japan)
  • 3 Department of Endoscopy, Aichi Cancer Center Hospital, Nagoya, Japan. , (Japan)
  • 4 Department of Pathology and Molecular Diagnostics, Aichi Cancer Center Hospital, Nagoya, Japan. , (Japan)
Type
Published Article
Journal
Nagoya journal of medical science
Publication Date
May 01, 2019
Volume
81
Issue
2
Pages
325–329
Identifiers
DOI: 10.18999/nagjms.81.2.325
PMID: 31239600
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Umbilical metastasis from intra-abdominal or pelvic malignancy, which is called Sister Mary Joseph's nodule (SMJN), is rare, and it has a poor prognosis. Its most common primary sites are the stomach and ovaries. SMJN caused by colon cancer is uncommon. A 42-year-old woman visited local clinics with complaints of an umbilical mass. After a detailed examination, she was diagnosed with peritoneal and umbilical metastasis caused by colon cancer. A radical surgery was performed after 12 months of chemotherapy. 6 months later, local recurrence and ovarian metastasis were suspected. Further radical surgery was performed, and 14 months after that (50 months after starting treatment), no recurrences have been observed. We experienced a long-term survival case of SMJN caused by colon cancer and treated with a multidisciplinary approach.

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