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10.1159/000484976

http://scihub22266oqcxt.onion/10.1159/000484976
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C5836228!5836228!29515403
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suck abstract from ncbi


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pmid29515403      Case+Rep+Oncol 2018 ; 11 (1): 11-6
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  • A Patient with Advanced Gastric Cancer Who Achieved a Long-Term Prognosis by Early Diagnosis of Sister Mary Joseph s Nodule #MMPMID29515403
  • Ota S; Haruyama T; Ishihara M; Natsume M; Fukasawa Y; Sakamoto T; Tanzawa S; Usui R; Honda T; Ichikawa Y; Watanabe K; Sasajima Y; Seki N
  • Case Rep Oncol 2018[Jan]; 11 (1): 11-6 PMID29515403show ga
  • The patient was a 66-year-old woman. An induration of approximately 15 mm in size that accompanied redness was palpable in the umbilical fossa. She did not respond to 1-month antibiotic treatment provided by the previous physician. For this reason, a biopsy of the site was performed with the possibility of neoplastic disease in mind, resulting in the detection of adenocarcinoma. Subsequent detailed whole-body examination revealed advanced gastric cancer and peritoneal dissemination, and the induration in the umbilical fossa was diagnosed as a direct infiltration from the peritoneal dissemination. Metastasis or infiltration of malignant tumor to the umbilicus is called Sister Mary Joseph's nodule (SMJN), and considered as a sign of poor prognosis. However, this case was successfully treated and achieved a long-term prognosis by the early diagnosis of SMJN. In routine clinical practice, it is considered necessary to examine patients carefully, as not to overlook SMJN.
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