[A Case of Sister Mary Joseph's Nodule after Radiation Therapy for Cervical Cancer]

Gan To Kagaku Ryoho. 2023 Apr;50(4):535-537.
[Article in Japanese]

Abstract

An umbilical metastasis from an internal malignancy is called Sister Mary Joseph's nodule(SMJN)and has a poor prognosis. Herein, we report a case of umbilical metastasis of cervical cancer. A woman in her eighties underwent radiation therapy for cervical cancer(cT3bN0M0, cStage ⅢB). Primary tumor shrank after treatment, suggesting that radiation therapy induced complete response. Two years and 9 months after treatment, the patient presented with umbilical pain. A CT scan showed an umbilical mass near the umbilical hernia. PET-CT demonstrated high accumulation of FDG at the mass, which led to suspicion of umbilical metastasis(SMJN). Although she underwent radical surgery, she died from cancer 8 months after surgery.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Female
  • Humans
  • Positron Emission Tomography Computed Tomography
  • Sister Mary Joseph's Nodule* / secondary
  • Tomography, X-Ray Computed
  • Umbilicus / pathology
  • Uterine Cervical Neoplasms* / radiotherapy
  • Uterine Cervical Neoplasms* / surgery