Tehreem Zafar, Humayun Bashir, Myda Muzaffar.
Hypermetabolic Sister Mary Joseph\'s nodule in pancreatic carcinoma..
J Pak Med Assoc Jan ;70(11):2075-6.
Metastasis to umbilicus is often defined as Sister Mary Joseph's (SMJ) nodule. These nodules may be a manifestation of various underlying malignancies, about 50% arising from abdominopelvic cavity most frequently from the gastrointestinal tract. Pancreatic cancer is the predisposing cause in only about 6% of cases and the most common histopathology is adenocarcinomas. We present the case of a 64-year-old male who was found to have a SMJ nodule on staging F18 FDG PETCT scan.
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