title: Sister Mary Joseph's nodule as the first and only sign of recurrence in a case of stage Ia carcinoma ovary.
abstract: Sister Mary Joseph's nodule, a term coined by Sir Hamilton Bailey, describes the umbilical nodule associated with advanced intra-abdominal malignancy. It signifies extensive intra-abdominal disease with a poor prognosis and a median survival of 4-14 months. We describe a case in which discharge from umbilical nodule was the first sign of recurrence in carcinoma ovary. On laparotomy, besides extra-abdominal umbilical deposit there was no peritoneal disease.
authors.affiliation: Department of Obstetrics and Gynecology, AIIMS, New Delhi, India.
authors.forename: Prerna
authors.initials: P
authors.lastname: Gupta
authors.forename: Aruna
authors.initials: A
authors.lastname: Kumari
authors.forename: Alka
authors.initials: A
authors.lastname: Kriplani
authors.forename: Neerja
authors.initials: N
authors.lastname: Bhatla
mesh_terms: D000231:Adenocarcinoma, Papillary / Q000175:diagnosis* / Q000473:pathology* / Q000601:surgery; D005260:Female; D006801:Humans; D007044:Hysterectomy; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000175:diagnosis* / Q000473:pathology*; D009367:Neoplasm Staging; D010051:Ovarian Neoplasms / Q000175:diagnosis* / Q000473:pathology* / Q000601:surgery; D010052:Ovariectomy; D012086:Reoperation; D058994:Salpingectomy; D058288:Sister Mary Joseph's Nodule / Q000175:diagnosis* / Q000473:pathology*; D014472:Umbilicus / Q000473:pathology / Q000601:surgery