頁籤選單縮合
題名 | Sister Mary Joseph結節--病例報告及文獻回顧=Sister Mary Joseph's Nodule--A Case Report and Review of the Literature |
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作者 | 邱足滿; 楊國材; 王昶皓; 張惠媚; | 書刊名 | 中華皮膚科醫學雜誌 |
卷期 | 17:3 1999.09[民88.09] |
頁次 | 頁208-214 |
分類號 | 415.789 |
關鍵詞 | Sister Mary Joseph結節; Sister Mary Joseph's nodule; Umbilicus; Metastasis; Adenocarcinoma; |
語文 | 中文(Chinese) |
中文摘要 | 一位29歲男性患者2週來發現肚臍部位有一個快速變大,1.6×1.5公分,紅色堅實 而無症狀的腫瘤。病灶切片檢查為轉移性黏液分泌性腺癌,此患者因而診斷為肚臍的轉移癌 : Sister Mary Joseph 結節。進一步檢查發現其原發腫瘤為胃腺癌合併腹膜轉移。Sister Mary Joseph 結節為罕見的癌症皮膚轉移,它可以是腹內惡性腫瘤最早的徵象,預後很差, 且診斷時通常已無法開刀治療。本篇報告強調皮膚科醫師對此疾病應有所認識,以及在肚臍 部位新近形成的病灶其病理組織學檢查的重要性。 |
英文摘要 | A 29-year-old man presented with a rapidly enlarging, 16×1.5 cm, firm, reddish, asymptomatic nodule on the umbilicus for 2 weeks. A skin biopsy specimen of the lesion showed mucin-producing adenocarcinoma, and the patient was diagnosed to have metastatic carcinoma of umbilicus:Sister Mary Joseph's nodule. Search for the primary tumor revealed adenocarcinoma of the stomach with peritoneal carcinomatosis. Sister Mary Joseph's nodule is a well-known entity. It is a rare form of cutaneous metastasis, which can present as the first sign of intra-abdominal malignancy, carrying very poor prognosis, and generally is inoperable. This report emphasizes that dermatologists must be aware of the diagnostic significance of this entity and the importance of histopathological assessment of recently acquired umbilical lesions. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。