Woman 74 yo with chief complains of anorexia, colicky pain for one month. Ultrasound detected ascites and left pleural effusion, and at periumbilical area, there was an umbilical tumor with size of 1.5cm, solid and low vascularity.
MSCT of abdomen also doesn’t find any intra-abdomen mass, but the umbilical tumor was very high CE enhancement.
Blood tests : CRP= 806 ng/mL, albumine = 2.4 mg/mL, CEA normal, CA 125 = 611 UI/mL.
Ascites in puncture : yellowish fluid.
Cytology analysis= 71% lymphocyte, ADA=16 ng/mL , Amylase= 109 UI/mL , CA 125 = very high more than 600 UI.
Biopsy of umbilical tumor was done.
MICROSCOPIC REPORT WAS ADENOCARCINOMA METASTASES TO UMBILICUS. IT IS SMJN. (SISTER MARY JOSEPH NODULE ).
REFERENCES
Ascites in puncture : yellowish fluid.
Cytology analysis= 71% lymphocyte, ADA=16 ng/mL , Amylase= 109 UI/mL , CA 125 = very high more than 600 UI.
Biopsy of umbilical tumor was done.
MICROSCOPIC REPORT WAS ADENOCARCINOMA METASTASES TO UMBILICUS. IT IS SMJN. (SISTER MARY JOSEPH NODULE ).
REFERENCES
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