Scarpa F J, Dineen J P, Boltax R S
J Surg Oncol. 1979;11(4):351-9. doi: 10.1002/jso.2930110410.
An umbilical mass as the presenting and only symptom of an underlying visceral carcinoma is an infrequent occurrence. The implications of such a finding are illustrated by four examples, with primary tumors in pancreas, colon, and ovary. Adenocarcinoma in the umbilicus represents a metastatic deposit until proved otherwise. Further diagnostic evaluation to localize the primary tumor should be based upon therapeutic implications. The need for abdominal exploration must be individualized.
以脐部肿物作为潜在内脏癌的唯一表现症状实属罕见。本文通过四个实例阐述了这一发现的意义，原发肿瘤分别位于胰腺、结肠和卵巢。脐部腺癌在未得到其他证据之前均代表转移灶。进一步定位原发肿瘤的诊断评估应基于治疗意义。是否需要进行腹部探查必须因人而异。
