Case Report
 
Umbilical metastasis as a primary presentation in carcinoma rectum: A case report
Syed Altaf1, Kapil Dev2, Jaiprakash Gurawalia2, Shiva Kumar2
1Associate Professor, Department of Surgical Oncology, Kidwai Memorial Institute of Oncology, Bangalore.
2Mch student, Department of Surgical Oncology, Kidwai Memorial Institute of Oncology, Bangalore, Karnataka, India.

Article ID: Z01201703CR10774SA
doi:10.5348/ijcri-201735-CR-10774

Address correspondence to:
Kapil dev
Room no 314, PG Hostel Men's, Kidwai Memorial Institute of Oncology
Dr M H Marigowda road
Bangalore, Karnataka
India - 560029

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How to cite this article
Altaf S, Dev K, Gurawalia J, Kumar S. Umbilical metastasis as a primary presentation in carcinoma rectum: A case report. Int J Case Rep Images 2017;8(3):201–204.


Abstract
Introduction: Sister Mary Joseph nodule refers to periumbilical metastatic lesion and is an indicator of advanced intra-abdominal malignancy. It can be smooth, non-ulcerated or ulcerated and necrotic mass with or without blood, mucinous, serous or purulent discharge. It can appear before the diagnosis of the primary lesion or during or after the definitive treatment.
Case Report: A 39-year-old man presented with a two-month history of painful swelling over the umbilicus. On workup, umbilical nodule was diagnosed as metastatic adenocarcinoma with a primary lesion in mid rectum.
Conclusion: Sister Mary Joseph nodule is a thumbprint of disseminated and advanced disease that requires an aggressive combined treatment in every individual instance and bears poor prognosis.

Keywords: Carcinoma rectum, Metastatic adenocarcinoma, Sister Mary Joseph nodule


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Author Contributions
Syed Altaf – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Kapil Dev – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Jaiprakash Gurawalia – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Shiva Kumar – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2017 Syed Altaf et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.