Case Report


Sister Mary Joseph’s nodule revealing an ovarian adenocarcinoma: A case report

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1 Gynecologic Department, Centre Hospitalier Universitaire Ibn Rochd, Faculté de Médecine et Pharmacie, Université Hassan II de Casablanca, Casablanca, Morocco

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Hlaibi Omnia

Centre Hospitalier Universitaire Ibn Rochd, Faculté de Médecine et Pharmacie, Université Hassan II de Casablanca, Casablanca,

Morocco

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Article ID: 100031G06FI2023

doi: 10.5348/100031G06FI2023CR

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How to cite this article

Issam F, Zineb S, Omnia H, Houssin B, Sakher M, Naima S. Sister Mary Joseph’s nodule revealing an ovarian adenocarcinoma: A case report. Edorium J Gynecol Obstet 2023;8(1):8–11.

ABSTRACT


Introduction: Sister Mary Joseph nodule is an eponymous term for a malignant metastatic umbilical nodule. It is a rare but important physical finding because it is indicative of advanced malignancy. The primary tumor is usually an adenocarcinoma, rarely a squamous cell carcinoma, melanoma, or sarcoma.

Case Report: We report the clinical case of a 64-year-old woman with metastatic ovarian adenocarcinoma and umbilical cutaneous metastasis. The diagnosis was established upon the umbilical node biopsy in April 2020, after the patient presented with an abdominal distension and respiratory difficulties.

Conclusion: Umbilical skin metastases are rare, and they are associated with advanced metastatic disease and a very poor prognosis. Through this work we try to clarify the mechanisms and the prognosis of this rare manifestation, and put the point on the importance of an early diagnosis.

Keywords: Ovarian adenocarcinoma, Sister Mary Joseph nodule, Umbilical metastasis

SUPPORTING INFORMATION


Author Contributions

Faizi Issam - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Final approval of the version to be published

Sami Zineb - Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Hlaibi Omnia - Acquisition of data, Analysis of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Boufettal Houssin - Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published

Mahdaoui Sakher - Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published

Samouh Naima - Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published

Guaranter of Submission

The corresponding author is the guarantor of submission.

Source of Support

None

Consent Statement

Written informed consent was obtained from the patient for publication of this article.

Data Availability

All relevant data are within the paper and its Supporting Information files.

Conflict of Interest

Authors declare no conflict of interest.

Copyright

© 2023 Faizi Issam 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.