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Sister Marie Joseph nodule and Krükenberg's tumor: rare association revealing a gastric adenocarcinoma
Authors:Ubrich Venceslas Acko  Estelle Acko-Ohui  Rokia Ouattara  Fiakre Abbe  Zana Coulibaly  Jean-Paul Kouao
Institution:aDepartment of Internal Medicine-Geriatrics, Angré University Hospital, Abidjan, Ivory Coast;bDepartment of Radiodiagnostic and Medical Imaging, Treichville University Hospital, Abidjan, Ivory Coast;cLaboratory of anatomo-pathology, University Hospital of Treichville, Abidjan, Ivory Coast
Abstract:It was about a 61-year-old patient who presented an indurated and painless umbilical swelling surrounded by ulcerated plaque and an abdominal arch progressing for 8 months. Abdomino-pelvic ultrasound and abdominal-pelvic CT scan revealed in right ovarian the presence of a mass with a cystic''s tissue, a thickness with a subcutaneous infiltration of the umbilical region and the diffuse infiltration of gastric parietal mesenteric fat. Histology of the ovarian mass confirmed Krükenberg''s tumor and that of the Sister Marie-Joseph''s nodule confirmed umbilical skin metastasis. The primary was a well differentiated gastric adenocarcinoma. The death occurred after the first chemotherapy treatment. The association of Krükenberg''s tumor with Sister Marie-Joseph''s nodule, rare and unusual, has been revealing of a gastric adenocarcinoma which up to now was unknown and asymptomatic.
Keywords:Sister Marie Joseph nodule  Krü  kenberg''s tumor  gastric adenocarcinoma  Imagery
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