Hematogenous umbilical metastasis from colon cancer treated by palliative single-incision laparoscopic surgery

查看全文 作　　者：Tomohide [1]Hori;Noriyuki [1]Okada;Masaya [1]Nakauchi;Shuji [2]Hiramoto;Ayako Kikuchi-[2]Mizota;Masahisa [3]Kyogoku;Fumitaka [1]Oike;Hidemitsu [4]Sugimoto;Junya [4]Tanaka;Yoshiki [4]Morikami;Kaori [4]Shigemoto;Toyotsugu [5]Ota;Masanobu [5]Kaneko;Masato [4]Nakatsuji;Shunji [6]Okae;Takahiro [1]Tanaka;Daigo [1]Gunji;Akira [2]Yoshioka

机构地区：[1]Department of Surgery,Mitsubishi Kyoto Hospital;[2]Department of Medical Oncology,Mitsubishi Kyoto Hospital;[3]Department of Histopathology,Mitsubishi Kyoto Hospital;[4]Department of Gastroenterology,Mitsubishi Kyoto Hospital;[5]Department of Radiology,Mitsubishi Kyoto Hospital;[6]Department of Internal Medicine,Mitsubishi Kyoto Hospital

出　　处：《World Journal of Gastrointestinal Surgery》索引2013年第5卷第10期,共6页

摘　　要：Sister Mary Joseph’s nodule(SMJN)is a rare umbilical nodule that develops secondary to metastatic cancer.Primary malignancies are located in the abdomen or pelvis.Patients with SMJN have a poor prognosis.An 83-year-old woman presented to our hospital with a1-month history of a rapidly enlarging umbilical mass.Endoscopic findings revealed advanced transverse colon cancer.computer tomography and fluorodeoxyglucose-positron emission tomography revealed tumors of the transverse colon,umbilicus,right inguinal lymph nodes,and left lung.The feeding arteries and drainage veins for the SMJN were the inferior epigastric vessels.Imaging findings of the left lung tumor allowed for identification of the primary lung cancer,and a diagnosis of advanced transverse colon cancer with SMJN and primary lung cancer was made.The patient underwent local resection of the SMNJ and subsequent single-site laparoscopic surgery involving right hemicolectomy and paracolic lymph node dissection.Intra-abdominal dissemination to the mesocolon was confirmed during surgery.Histopathologically,the transverse colon cancer was confirmed to be moderately differentiated tubular adenocarcinoma.We suspect that SMJN may occur via a hematogenous pathway.Although chemotherapy for colon cancer and thoracoscopic surgery for the primary lung cancer were scheduled,the patient and her family desired home hospice.Seven months after surgery,she died of rapidly growing lung cancer. 关键词：UMBILICUS SISTER MARY JOSEPH Singleincision laparoscopic surgery PALLIATIVE operation HEMATOGENOUS metastasis

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Hematogenous umbilical metastasis from colon cancer treated by palliative single-incision laparoscopic surgery

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