{"paper_id":"a5fbdfba-789d-4b24-9c47-0d56740e5d74","body_text":"Abstract\nA 58-year-old woman was diagnosed with endometrial carcinoma. Total hysterectomy, bilateral salpingo-oophorectomy and paraaortic and a pelvic lymph node dissection were performed. The cytology of peritoneal fluid was negative. There was no peritoneal dissemination except umbilical nodule. A peritoneal 2.0×1.5 cm umbilical nodule was also resected. The nodule was identified as a metastasis from endometrial cancer with endometriosis. The pelvic lymph nodes also showed metastatic lesion with endometriosis. Our case showed that endometriosis coexisted with umbilical and pelvic lymph nodal metastatic lesions from endometrial cancer. This fact suggests that the mode of metastasis to the umbilicus via lymph flow from endometrial cancer is the same as that for endometriosis.\nReferences\nSchwartz IS (1987) Sister (Mary?) Joseph’s nodule. N Engl J Med 316:1348–1349\nBarrow MV (1966) Metastatic tumours of the umbilicus. J Chronic Dis 19:1113–1117\nGalvan V (1999) Sister Mary Joseph’s nodule: its clinical significance and management. An Med Interna 16:1949–1950\nChing AS, Lai CW (2002) Sonography of umbilical metastasis (Sister Mary Joseph’s nodule): from embryology to imaging. Abdom Imaging 27:746–749\nReingold IM (1966) Cutaneous metastases from internal carcinoma. Cancer 19:162–168\nInsabato L, Pettinato G (1996) Endometriosis of the bowel with lymph node involvement. A report of three cases and review of the literature. Pathol Res Pract 192(9):957–961\nHorn LC, Bilek K (1995) Frequency and histogenesis of pelvic retroperitoneal lymph node inclusions of the female genital tract. An immunohistochemical study of 34 cases. Pathol Res Pract 191(10):991–996\nBrodland DG, Zitelli JA (1992) Mechanisms of metastasis. J Am Acad Dermatol 27:1–8\nSugarbaker PH (2001) Sister Mary Joseph’s sign. J Am Coll Surg 193(2):339–340\nMajrmudar B, Wiskind AK, Croft BN, Dudley AG (1991) The Sister (Mary) Joseph nodule: its significance in gynecology. Gynecol Oncol 40:152–159\nAuthor information\nAuthors and Affiliations\nCorresponding author\nRights and permissions\nAbout this article\nCite this article\nIkeda, Si., Yajima, M., Hida, K. et al. Sister Joseph umbilical nodule coexisting with endometriosis from endometrial carcinoma. Arch Gynecol Obstet 273, 250–252 (2006). https://doi.org/10.1007/s00404-005-0043-9\nReceived:\nAccepted:\nPublished:\nIssue date:\nDOI: https://doi.org/10.1007/s00404-005-0043-9","source_license":"CC0","license_restricted":false}