[一例源于多发性结肠癌的玛丽·约瑟夫修女结节病例]

[A Case of Sister Mary Joseph's Nodule from Multiple Colon Cancers].

作者信息

Ikenaga Masakazu, Ohta Katsuya, Ueda Masami, Sakai Takaaki, Sato Go, Chinen Yoshinao, Itakura Hiroaki, Kato Ryo, Iede Kiyotsugu, Tsuda Yujiro, Nakashima Shinsuke, Endo Shunji, Yasui Masayoshi, Noura Shingo, Yamada Terumasa

机构信息

Dept. of Gastroenterological Surgery, Higashiosaka City Medical Center.

出版信息

Gan To Kagaku Ryoho. 2018 Dec;45(13):1898-1900.

PMID:30692391

Abstract

A 94-year-old woman, who had been treated for multiple colon cancers 4 years ago, complained of umbilicus induration and had been followed up in a previous hospital with a diagnosis of periumbilical inflammation. Four years and 3 months postoperatively, the umbilical induration was enlarged, and umbilical metastasis of adenocarcinoma was diagnosed on biopsy. Umbilical resection was performed, and multiple peritoneal metastases were revealed. Umbilical metastases may worsen the patient's quality of life; thus, local resection was recommended positively.

摘要

一名94岁女性，4年前曾接受过多次结肠癌治疗，主诉脐部硬结，此前在一家医院接受随访，诊断为脐周炎症。术后4年零3个月，脐部硬结增大，活检诊断为腺癌脐部转移。进行了脐部切除术，发现多处腹膜转移。脐部转移可能会恶化患者的生活质量；因此，积极建议进行局部切除。