Sister Mary Joseph's Nodule: Ascending Colon Cancer with Umbilical Metastasis

升結腸癌合併單一、同時性肚臍轉移

10.6323/JCRP.2015.2.4.7

陳建勳(Jian-Syun Chen)；劉建國(Chien-Kuo Liu)

肚臍的轉移性腫瘤 ； 升結腸癌 ； umbilical metastasis ； ascending colon cancer ； Sister Mary Joseph's nodule (SMJN)

台灣癌症醫學雜誌

2卷4期（2015 / 12 / 01）

319 - 324

英文

肚臍的轉移性腫瘤被廣泛稱做Sister Mary Joseph's nodule（SMJN），它與腹腔、骨盆腔內的癌症有著很大的相關性，並代表著原發癌症的遠處轉移與較差的預後。胃癌、卵巢癌分別為男性與女性SMJN最常見的癌症原發器官，結腸癌併發的肚臍轉移則鮮少被報告。我們提出的病例報告是以肚臍的轉移性腫瘤，做為升結腸癌的最早表現；良好的鑑別診斷，可增加病人接受根除性手術治療的可能。

Umbilical metastasis is universally referred to as Sister Mary Joseph's nodule (SMJN). This disease is associated with advanced stage internal malignancy and generally has a poor prognosis. The most frequent primary sites are stomach and ovary. SMJN caused by colon cancer, however, is uncommon. We herein represent a case of Sister Mary Joseph's nodule as the first sign of ascending colon cancer. The patient underwent curative surgery for primary colon cancer and umbilical metastatic lesion. Due to an early and accurate diagnosis, we were able to increase the probability of successful, curative surgery. This case highlights that differential diagnosis of an umbilical lesion should always include metastatic lesion.