Fleming M V, Oertel Y C
Pathology Department, George Washington University, Washington, D.C. 20037.
Diagn Cytopathol. 1993;9(1):32-6. doi: 10.1002/dc.2840090107.
We report eight cases of umbilical metastases (Sister Mary Joseph's nodules) diagnosed by fine-needle aspiration. The primary carcinoma was below the diaphragm in seven patients. There was one false-negative diagnosis. We advocate the use of fine needle aspiration as the initial diagnostic test. It is a simple, fast, accurate, and relatively inexpensive means of making the definitive diagnosis. It can spare patients invasive procedures that are not clearly of benefit.
我们报告了8例经细针穿刺确诊的脐部转移瘤（玛丽·约瑟夫修女结节）。7例患者的原发癌位于膈肌以下。有1例假阴性诊断。我们提倡将细针穿刺作为初始诊断检查。它是一种简单、快速、准确且相对便宜的明确诊断方法。它可以避免让患者接受明显无益处的侵入性检查。
