title: Sister Mary joseph nodule as a presenting sign of pancreatobiliary adenocarcinoma.
abstract: Sister Mary Joseph nodules represent metastatic cancer of the umbilicus. These malignancies are usually associated with the ovary and gastrointestinal tract. The authors report the case of a Sister Mary Joseph nodule originating from the bifurcation of the common hepatic duct. Umbilical nodules should prompt clinical evaluations, as these tumors are usually associated with poor prognosis.
authors.affiliation: Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, University of Miami Hospital, Miami, Florida;
authors.forename: Michael L
authors.initials: ML
authors.lastname: Shelling
authors.forename: Magalys
authors.initials: M
authors.lastname: Vitiello
authors.forename: Emma L
authors.initials: EL
authors.lastname: Lanuti
authors.forename: Senen
authors.initials: S
authors.lastname: Rodriguez
authors.forename: Francisco A
authors.initials: FA
authors.lastname: Kerdel