Umbilical Metastasis in Ovarian Cancer: An Erroneous Sign of Advance Malignancy

Shiva Kumar, Kapil Dev^*, Jaiprakash Gurawalia and Chunduri Srinivas
Department of Surgical Oncology, Kidwai Memorial Institute of Oncology, Bangalore, India

*Corresponding Author: Kapil Dev, Department of Surgical Oncology, Kidwai Memorial Institute of Oncology, Bangalore, India. Tel: 918197010684 Fax: +91 80 26094000 E-mail: dr.kapil2010@gmail.com

Received: March 02, 2016; Accepted: March 18, 2016; Published: March 22, 2016

Citation: Kumar S, Dev K, Gurawalia J, et al. Umbilical Metastasis in Ovarian Cancer: An Erroneous Sign of Advance Malignancy. Arch Cancer Res. 2016, 4:1.

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Abstract

Umbilical metastasis in ovarian cancer carries ominous clinical importance generally heralding the demise of the patient over relatively short period of time despite all attempts at controlling disease. Sister Mary Joseph’s nodule (SMJN) is defined as an irregular lump on the umbilicus, ranging from 0.5 to 2 cm, reaching up to 10 cm as a result of metastasis from visceral malignancies. It can be smooth, non-ulcerated or ulcerated necrotic mass with or without blood, mucinous, serous or purulent discharge [1,2]. Umbilical metastasis from intra-abdominal visceral malignancies is a form of SMJN. The term “Sister Mary Joshep’s nodule” was projected by Sir Hamilton Bailey for the umbilical metastasis of an abdominal malignancy in 1948. It can be a presenting symptom or sign of undiagnosed malignancy. Here, we have presented a classical example of SMJN with a diagnosis of umbilical metastasis in ovarian cancer as a primary presentation.

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