Wu Yong-You, Xing Chun-Gen, Jiang Ju-Xiang, Lu Xiao-Dong, Feng Yi-Zhong, Wu Hao-Rong
Department of General Surgery, the Second Affiliated Hospital of Soochow University, Suzhou, Jiangsu 215004, PR China.
Chin J Cancer. 2010 Feb;29(2):239-41. doi: 10.5732/cjc.009.10106.
Umbilical metastases from intraperitoneal malignancies are universally referred to Sister Mary Joseph's nodule (SMJN). The most frequent primary tumor sites include the stomach and ovaries. SMJN caused by colon cancer is uncommon. Likewise, carcinoma of the right side colon metastasizing to inguinal lymph nodes is considered almost impossible. To the best of our knowledge, there is no report of right side colon cancer synchronously involving both the umbilicus and inguinal lymph nodes in the literature. We present a case of right side colon cancer (RSCC) metastasizing to the umbilicus and inguinal lymph nodes, which was confirmed by routine pathological evaluation and immuohistochemistry.
腹腔内恶性肿瘤的脐部转移瘤通常被称为玛丽·约瑟夫修女结节（SMJN）。最常见的原发肿瘤部位包括胃和卵巢。由结肠癌引起的SMJN并不常见。同样，右侧结肠癌转移至腹股沟淋巴结几乎被认为是不可能的。据我们所知，文献中尚无右侧结肠癌同时累及脐部和腹股沟淋巴结的报道。我们报告一例右侧结肠癌（RSCC）转移至脐部和腹股沟淋巴结的病例，该病例经常规病理评估和免疫组化得以确诊。
