[A case of metastases of umbilicus (Sister Mary Joseph's nodule)].
We report a case of advanced unresectable pancreatic cancer (cT4N1M0/stage IVa). The patient was a 68-year-old man. Chemo-radiation therapy (CRT) with GEM (1,000 mg/body) was administered once a week on days 1, 8 and 15 for 3 weeks. The radiotherapy dose was 45 Gy (1.5 Gy x 2/day, 15 days). After CRT, the patient was treated with a GEM+ UFT-E combination chemotherapy. When that was done, CT scan revealed metastases of umbilicus (Sister Mary Joseph's nodule) and the liver. Microwave Coagulation Therapy for the liver metastasis and tumorectomy for metastasis of umbilicus were performed. But he died after 4 months from the therapies.
Yamashita
Shinya
S
Dept. of Surgery, Nishinomiya Municipal Central Hospital.
Sakon
Masato
M
Hiura
Yuichiro
Y
Nakano
Katsutoshi
K
Higaki
Naozumi
N
Murakami
Masakazu
M
Hayashida
Hirohito
H
Kan
Kazuomi
K
Ichihara
Takao
T
D000008:Abdominal Neoplasms / Q000097:blood / Q000556:secondary* / Q000628:therapy; D000368:Aged; D000951:Antigens, Neoplasm / Q000097:blood; D014408:Biomarkers, Tumor / Q000097:blood; D017809:Fatal Outcome; D006801:Humans; D008113:Liver Neoplasms / Q000556:secondary / Q000628:therapy; D008297:Male; D010190:Pancreatic Neoplasms / Q000097:blood / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D017211:Treatment Failure; D014472:Umbilicus / Q000473:pathology*
D000951:Antigens, Neoplasm; D014408:Biomarkers, Tumor; C042317:DU-PAN-2 antigen, human