Pancreatic Cancer with Umbilical Metastasis (Sister Mary Joseph's Nodule)
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概要
- 論文の詳細を見る
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.
- 長崎大学の論文
著者
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Kanematsu Takashi
Department Of Surgery Nagasaki University Graduate School Of Biomedical Sciences
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TOKAI Hirotaka
Department of Surgery, Nagasaki University Graduate School of Biomedical Sciences
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Tokai Hirotaka
Department Of Surgery Nagasaki Prefectural Shimabara Hospital
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Kanematsu Takashi
Department Of Transplantation And Digestive Surgery Nagasaki University Graduate School Of Biochemic
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Matsuo Shigetoshi
Department Of Gastroenterology And Hepatology Graduate School Of Biomedical Sciences Nagasaki Univer
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Kanematsu Takashi
Department Of Dental Pharmacology Division Of Integrated Medical Science Graduate School Of Biomedic
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