Umbilical metastasis of an endometrial carcinoma (Sister Mary Joseph’s nodule): a case report and review of literature

Introduction: Umbilical metastasis from intra-abdominal or pelvic malignancies which is also known as “Sister Mary Joseph’s nodule” (SMJN) is a rare entity and typically described in cases of gastric carcinoma. However, even fewer than 30 cases with umbilical metastasis originated from endometrial cancer is reported in previous literature. Here the authors report a new case of SMJN originating from endometrial carcinoma. Case Report: A 57-year- old woman was diagnosed with endometrial carcinoma and umbilical mass. Total hysterectomy, bilateral salpingo-oophorectomy, lymph node dissection, and umbilical mass resection were performed. The umbilical mass was identified as a metastasis from endometrial cancer. Conclusion: In conclusion, this case showed that, taking the rarity of umbilical metastasis from endometrial carcinoma into consideration, it is difficult to recognize, and differential diagnosis is important in terms of choosing the adequate treatment.

Endometrial carcinoma; Umbilical metastasis; SMJN.

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