Sister Mary Joseph's nodule as the first sign of pregnancy-associated gastric cancer: a case report.
Sister Mary Joseph's nodule is an inconspicuous and uncommon clinical sign of advanced malignant disease, especially gastric cancer. Pregnancy-associated gastric cancer is an extremely rare condition and can be difficult to diagnose, due to the absence or misinterpretation of symptoms as pregnancy-related. Diagnostic aids, such as a basic chemistry panel and imaging techniques, may not show any abnormalities. We present a case of a 37-year-old pregnant patient whose umbilical nodule was the first presenting physical sign of gastric cancer, which had metastasized throughout the abdominal and pelvic regions.
Fill
Sara
S
Obstetrics and Gynecology Department, Medical Faculty of Ottovon-Guericke University, Magdeburg, Germany.
Taran
Andrei
A
Schulz
Hans-Ulrich
HU
Kahl
Stefan
S
Kalinski
Thomas
T
Smith
Bobbie
B
Costa
Serban-Dan
SD
D000328:Adult; D005260:Female; D006801:Humans; D009367:Neoplasm Staging; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000175:diagnosis / Q000473:pathology; D013274:Stomach Neoplasms / Q000175:diagnosis / Q000473:pathology; D014472:Umbilicus / Q000473:pathology*