A 55 year-old woman with mass at right axilla, and her private physician wanted a lymph node biopsy.
Ultrasound and MSCT detected thickening skin of right areola and swollen right axillary lymph node.
Microscopic result of lymph node biopsy was metastasized adenocarcinoma.
But sonologist noted an umbilical mass, solid, hypervascularized that appeared in the same time of the right axillary nodes. Then she tried to find out an abdominal neoplasm in remembering a case of Mary Joseph nodule.
Ultrasound, colonoscopy and MSCT detected a sigmoid colon wall thickening due to tumor.
Surgery removed the tumor and microscopic result was a moderately differentiated adenocarcinoma of colon.The colon tumor metastasized to umbilicus and right axillary lymph node.
So we have a case of metastasized axillary lymph node, a Sister Mary Joseph nodule with the origin of sigmoid colon cancer.
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