Journal of Cytology
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Year : 2006  |  Volume : 23  |  Issue : 2  |  Page : 89-90

Occult gall bladder carcinoma presenting as umbilical nodule - A case report

1 Residents, Department of Pathology, Maulana Azad Medical College, New Delhi- 110002, India
2 Professor, Department of Pathology, Maulana Azad Medical College, New Delhi- 110002, India

Correspondence Address:
S Jain
20/59 Lodhi Colony, New Delhi, 110003
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Source of Support: None, Conflict of Interest: None

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Umbilical metastasis from internal malignancy is called as Sister Mary Joseph nodule. In most of these cases primary malignancy remains occult. The common primary sites include carcinomas from gastrointestinal tract and female genital system and rarely from other sites. Umbilical metastasis reflects poor prognosis and in some cases when present as a primary presentation should alarm the clinicians to investigate for occult internal malignancy. A case of middle aged female is reported where patient presented with umbilical mass; after the cytology report of metastatic adenocarcinoma, the primary was localized in the gall bladder, a rare site.

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