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Rare disease
CASE REPORT
Sister Mary Joseph nodule: a diagnostic challenge
  1. John A. G Gibson1,
  2. William R. Thompson2,
  3. Sham Konamme3,
  4. Sanjeet Bhattacharya4
  1. 1Department of Plastic Surgery, Abertawe Bro Morgannwg University Health Board, Port Talbot, UK
  2. 2Department of Plastic Surgery, NHS Ayrshire and Arran, Ayr, UK
  3. 3Department of Gynaecology, NHS Ayrshire & Arran, Ayr, U.K
  4. 4Department of General Surgery, NHS Ayrshire and Arran, Ayr, UK
  1. Correspondence to Mr. John A. G Gibson, johnaggibson{at}hotmail.com

Summary

We present the case of a 72-year-old woman who presented with, to our knowledge, the largest reported Sister Mary Joseph lesion in the literature. Often associated with a poor prognosis, the patient went on to have a wide local excision of the lesion and has made a full recovery 2 years after the nodule initially developed. Histological examination confirmed the presence of underlying endometrial cancer and the patient subsequently underwent a total hysterectomy and bilateral salpingo-oopherectomy.

  • cancer intervention
  • radiology (diagnostics)
  • gynecological cancer
  • plastic and reconstructive surgery

https://doi.org/10.1136/bcr-2017-223674

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    Footnotes

    • Contributors JAGG was involved in preparing the initial draft of the manuscript. WRT, SK and SB all reviewed and edited the final manuscript.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.