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第57卷 第1期 2024-1
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Reflections on the association between cholecystectomy, cholelithiasis, and colorectal cancer

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Early decompressive surgery within 72 hours of admission maintains financial advantages for patients with spinal epidural abscess, as evidenced by a retrospective study involving 130 cases

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第56卷 第6期 2023-11
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第56卷 第6期 2023-11
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篇名 Unusual Presentation of Appendiceal Adenocarcinoma:Report of a Case
作者 Hsien Liu, Shyng-Shiou Yuan, Kai-Jen Lin,Chih-Kun Huang, Chao-Ming Hung, Yaw-Sen Chen
卷期/出版年月 41卷5期 (2008/10)
頁次 217-220
摘要 Sister Mary Joseph’s nodule, which can present as the first sign of internal malignancies, is a rare form of cutaneous umbilical metastases and usually carries a poor prognosis. A case of Sister Mary Joseph’s nodule caused by primary appendiceal adenocarcinoma is presented. A 51-year-old female patient was with umbilical discharge for one month. No other gastrointestinal symptoms was noted. Physical examination revealed a hard, non-tender umbilical nodule with skin discoloration and mucus-like discharge. Histopathologic examination of the umbilical biopsy specimen revealed a mucin-producing, well-differentiated adenocarcinoma. The primary lesion proved to be appendiceal adenocarcinoma with invasion to right adnexa and uterus via further image study and exploratory laparotomy. To the best of our knowledge, the case we present is the first reported appendiceal adenocarcinoma with umbilical metastasis. The authors emphasize the need for careful evaluation of any umbilical lesions and the importance of histologic diagnosis when the origin of the diseases is undetermined.
關鍵詞 Sister Mary Joseph nodule, umbilical metastasis, appendiceal neoplasm
分類 Case Report

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