Umbilical metastases from known and unknown primary cancers are rare. The eponym "Sister Mary Joseph's nodule" has been used by generations of physicians. The first reports of this clinical sign were from Walshe in 1846. A review of the literature revealed 265 cases from then until 1989. Only 85 cas
Tumors of the umbilicus
โ Scribed by Willard D. Steck; Elson B. Helwig
- Publisher
- John Wiley and Sons
- Year
- 1965
- Tongue
- English
- Weight
- 875 KB
- Volume
- 18
- Category
- Article
- ISSN
- 0008-543X
No coin nor oath required. For personal study only.
โฆ Synopsis
C more than one-tenth of all malignant tumors that affect the skin of the anterior abdominal wall.1 I t occurs frequently enough to have some diagnostic and prognostic value, and too rarely for most clinicians to gain great experience with it.
We studied 112 tumors of the umbilicus, collected at the Armed Forces Institute of Pathology (AFIP) from military, Veterans Administration and civilian sources. Of the lesions 48 were malignant and 64 were benign.
T h e purpose of this report is to present the clinical and pathologic features, incidence, types of lesions, primary origins and prognostic significance of these umbilical malignant and benign tumors.
Methods
Gross and microscopic pathologic evaluation of tissue specimens, clinical and hospital records, autopsy reports and follow-up questionnaires provided the data. Sections of every specimen were prepared with hematoxylin and eosin stain and examined microscopically. Special stains and techniques were used where indicated.
MALIGNANT TUMORS
Clinical data: T h e 48 patients with malignant tumors were adults ranging from 21 to 79 years of age, with an average of 57' years.
There were 32 male and 16 female patients and 39 Caucasians, 7 Negroes and 2 Orientals.
Only 7 patients were known to be alive; 35 were known dead, with an autopsy report available in 21 instances.
Lesions primary at the umbilicus: Seven tumors definitely originated in the umbilicus
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