卵巢癌所致玛丽·约瑟夫修女结节的超声检查结果。

Sonographic findings of Sister Mary Joseph's nodule from ovarian cancer.

作者信息

Kijima Shigeyoshi, Omoto Kiyoka, Utano Kenichi, Sakamoto Atsuko, Matsunaga Hiroaki, Koibuchi Harumi, Fujii Yasutomo, Taniguchi Nobuyuki, Konno Kei, Sugimoto Hideharu

机构信息

Department of Radiology, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke, Tochigi, 329-0498, Japan.

Department of Clinical Laboratory Medicine, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke, Tochigi, 329-0498, Japan.

出版信息

J Med Ultrason (2001). 2012 Jan;39(1):29-31. doi: 10.1007/s10396-011-0324-9. Epub 2011 Sep 30.

DOI:10.1007/s10396-011-0324-9

PMID:27278703

Abstract

Sister Mary Joseph's nodule (SMJN), which is known as a malignant tumor metastasized to the umbilicus, is a rare condition. We report ultrasonic findings of SMJN secondary to ovarian cancer in a 66-year-old woman. The umbilical tumor was observed as a hypoechoic mass with punctate hyperechoic foci. A pathological specimen obtained by needle biopsy confirmed adenocarcinoma with psammoma bodies. A comparison of the ultrasonographic findings with the pathological findings of the resected specimen suggested that the hyperechoic foci corresponded to psammoma bodies. When hyperechoic foci are observed inside SMJN by ultrasonography, adenocarcinoma from ovarian cancer should be included in the differential diagnosis.

摘要

玛丽·约瑟夫修女结节（SMJN）是一种罕见的情况，它是转移至脐部的恶性肿瘤。我们报告了一名66岁女性继发于卵巢癌的SMJN的超声检查结果。脐部肿瘤表现为低回声肿块，内见点状高回声灶。针吸活检获取的病理标本证实为伴有砂粒体的腺癌。超声检查结果与切除标本的病理结果对比显示，高回声灶对应于砂粒体。当通过超声检查在SMJN内部观察到高回声灶时，鉴别诊断应包括卵巢癌来源的腺癌。