Pancreatic Cancer with Umbilical Metastasis (Sister Mary Joseph's Nodule)
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Accession number;06A0105397
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| Title;Pancreatic Cancer with Umbilical Metastasis (Sister Mary Joseph's Nodule) |
| Author;
TOKAI HIROTAKA
(Nagasaki Prefectural Shimabara Hospital, Nagasaki, Jpn)
TOKAI HIROTAKA
(Nagasaki Univ. Graduate School Of Biochemical Sci., Nagasaki, Jpn)
MATSUO SHIGETOSHI
(Nagasaki Prefectural Shimabara Hospital, Nagasaki, Jpn)
AZUMA TAKASHI
(Nagasaki Prefectural Shimabara Hospital, Nagasaki, Jpn)
HARAGUCHI MASASHI
(Nagasaki Prefectural Shimabara Hospital, Nagasaki, Jpn)
YAMAGUCHI SATOSHI
(Nagasaki Prefectural Shimabara Hospital, Nagasaki, Jpn)
KANEMATSU TAKASHI
(Nagasaki Univ. Graduate School Of Biochemical Sci., Nagasaki, Jpn)
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Journal Title;Acta Med Nagasaki Ensia
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Journal Code:X0952A
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ISSN:0001-6055
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VOL.50;NO.3;PAGE.123-126(2005)
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| Figure&Table&Reference;FIG.3, REF.16 |
| Pub. Country;Japan |
| Language;English |
| Abstract;A 60-year-old woman was admitted to Nagasaki Prefectural Shimabara Hospital, with a painful tumor in her umbilical region. The tumor was about 1*1 cm in size. Histological examination of biopsied specimens revealed it to be a metastatic adenocarcinoma. Abdominal computed tomography and ultrasonography revealed a cystic tumor of about 23 mm in diameter in the pancreatic body. In addition, serum levels of cancer antigen 19-9 were elevated. With a tentative diagnosis of pancreatic tumor, she underwent surgery. When we opened her peritoneal cavity, there was no evidence of intra-abdominal disseminations, liver metastases or ascites. At that time, distal pancreatectomy accompanied by splenectomy was the procedure of choice. Histological examination revealed a moderately differentiated adenocarcinoma in the pancreatic body along with fatty replacement of the pancreatic tail. The umbilical tumor was a metastatic adenocarcinoma, which is referred to as a Sister Mary Joseph's nodule. (author abst.) |
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