Sister Mary Joseph Nodule: A Rare Presentation of Squamous Cell Carcinoma of the Cervix

Ochsner journal · 2015 · vol. 15(3) , pp. 256–8 · PMID:26412998 · PMC4569158
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This case report describes an 88-year-old woman whose Sister Mary Joseph nodule was the presenting sign of metastatic squamous cell carcinoma of the cervix.

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Abstract

BACKGROUND: Sister Mary Joseph nodule refers to metastatic malignancy of the periumbilical region. Umbilical metastasis is an indicator of advanced malignant disease. CASE REPORT: We present the case of an 88-year-old patient presenting with postmenopausal vaginal bleeding, inguinal lymphadenopathy, and physical findings of a palpable umbilical nodule (Sister Mary Joseph nodule). Further workup was consistent with metastatic squamous cell carcinoma of the cervix. CONCLUSION: Because Sister Mary Joseph nodule may be the only manifestation of underlying malignancy, thorough physical examination plays an important role in diagnosing the malignancy in a more confined state that may have a positive impact on the patient's length of survival.

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europepmc
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