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Sister Mary Joseph's nodule as the first sign of pregnancy-associated gastric cancer:A case report
作者姓名:Fill S  Taran A  Schulz HU  Kahl S  Kalinski T  Smith B  Costa SD
作者单位:Obstetrics and Gynecology Department Medical Faculty of Otto-von-Guericke University Magdeburg Germany,Obstetrics and Gynecology Department Medical Faculty of Otto-von-Guericke University Magdeburg Germany,General Surgery Department Medical Faculty of Otto-von-Guericke University in Magdeburg Germany,Gastroenterology Department Medical Faculty of Otto-von-Guericke University Magdeburg Germany,Pathology Department Medical Faculty of Otto-von-Guericke University Magdeburg Germany,Obstetrics and Gynecology Department Medical Faculty of Otto-von-Guericke University Magdeburg Germany,Obstetrics and Gynecology Department Medical Faculty of Otto-von-Guericke University Magdeburg Germany
摘    要:Sister Mary Joseph's nodule is an inconspicuous and uncommon clinical sign of advanced malignant disease, especially gastric cancer. Pregnancy-associated gastric cancer is an extremely rare condition and can be difficult to diagnose, due to the absence or misinterpretation of symptoms as pregnancy-related. Diagnostic aids, such as a basic chemistry panel and imaging techniques, may not show any abnormalities. We present a case of a 37-year-old pregnant patient whose umbilical nodule was the first presenting physical sign of gastric cancer, which had metastasized throughout the abdominal and pelvic regions.

关 键 词:胃癌  妊娠  脐带  病理机制
收稿时间:2007 Feb 15

Sister Mary Joseph's nodule as the first sign of pregnancy-associated gastric cancer: a case report
Fill S,Taran A,Schulz HU,Kahl S,Kalinski T,Smith B,Costa SD.Sister Mary Joseph's nodule as the first sign of pregnancy-associated gastric cancer: a case report[J].World Journal of Gastroenterology,2008,14(6):951-953.
Authors:Fill Sara  Taran Andrei  Schulz Hans-Ulrich  Kahl Stefan  Kalinski Thomas  Smith Bobbie  Costa Serban-Dan
Institution:1. Obstetrics and Gynecology Department,Medical Faculty of Ottovon-Guericke University,Magdeburg,Germany
2. General Surgery Department,Medical Faculty of Otto-von-Guericke University in Magdeburg,Germany
3. Gastroenterology Department,Medical Faculty of Otto-von-Guericke University,Magdeburg,Germany
4. Pathology Department,Medical Faculty of Otto-von-Guericke University,Magdeburg,Germany
Abstract:Sister Mary.Joseph's nodule is an inconspicuous and uncommon clinical sign of advanced malignant disease,especially gastric cancer.Pregnancy-associated gastric cancer is an extremely rare condition and can be difficult to diagnose,due to the absence or misinterpretation of symptoms as pregnancy-related.Diagnostic aids,such as a basic chernisJTy panel and imaging techniques,may not show any abnonnalities.We present a case of a 37-yearold pregnant patient whose umbilical nodule was the first preserfdng physical sign of gastric cancer,which had metastasized throughout the abdominal and pelvic regions.
Keywords:Sister Mary Joseph's nodule  Gastric cancer  Pregnancy-associated gastric cancer  Umbilical nodule  Metastases in pregnancy
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