A Case of Umbilical Metastasis from Sigmoid Colon Cancer Presented with Repeated Omphalitis
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- OSARAGI Tomohiko
- Department of Surgery, Hiratsuka Kyosai Hospital
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- YONEYAMA Katsuya
- Department of Surgery, Kanagawa Prefectural Ashigarakami Hospital
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- KASAHARA Akio
- Department of Surgery, Kanagawa Prefectural Ashigarakami Hospital
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- YAMAMOTO Yuji
- Department of Surgery, Kanagawa Prefectural Ashigarakami Hospital
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- RINO Yasushi
- Department of Surgery, Yokohama City University
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- MASUDA Munetaka
- Department of Surgery, Yokohama City University
Bibliographic Information
- Other Title
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- 臍炎様症状が診断の契機となったS状結腸癌臍転移の1例
- 症例 臍炎様症状が診断の契機となったS状結腸癌臍転移の1例
- ショウレイ セイエン ヨウ ショウジョウ ガ シンダン ノ ケイキ ト ナッタ Sジョウ ケッチョウ ガンセイテンイ ノ 1レイ
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Abstract
Umbilical metastasis from a malignant tumor is called as Sister Mary Joseph's nodule and is known as a sign suggesting a poor prognosis. We report a case of umbilical metastasis from sigmoid colon cancer presented with repeated bouts of omphalitis like symptom, together with a review of the literature.<BR>A 90-year-old woman complaining of redness of the umbilicus had repeatedly been treated in previous hospital with a diagnosis of periumbilical inflammation, but no symptomatic remission was gained. Two weeks later, she was referred to our department. On palpation, an about 2-cm induration was felt at the umbilicus, and effusion and foul odor were noted. Umbilical metastasis from a malignant tumor was likely. Umbilical metastasis of adenocarcinoma was diagnosed on a biopsy. As a result of general examinations, the patient was diagnosed with umbilical and hetatic metastases from sigmoid colon cancer. Laparotomy and histopathological findings suggested that the most likely manner of this umbilical metastasis might be of hematogenic. Since the patient was the very elderly, we employed sigmoidectomy + omphalectomy to improve her QOL. After discharge, she had mainly been treated by conservative therapy, and died 6 months after the operation.<BR>When we encounter an umbilical tumor, early diagnosis and treatment are important by keeping this disease in mind.
Journal
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- Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
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Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 76 (4), 838-843, 2015
Japan Surgical Association
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Details 詳細情報について
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- CRID
- 1390001204851873536
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- NII Article ID
- 130005106563
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- NII Book ID
- AA11189709
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- ISSN
- 18825133
- 13452843
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- NDL BIB ID
- 030764404
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed