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World J Gastrointest Surg. Oct 27, 2013; 5(10): 272-277
Published online Oct 27, 2013. doi: 10.4240/wjgs.v5.i10.272
Published online Oct 27, 2013. doi: 10.4240/wjgs.v5.i10.272
Hematogenous umbilical metastasis from colon cancer treated by palliative single-incision laparoscopic surgery
Tomohide Hori, Noriyuki Okada, Masaya Nakauchi, Fumitaka Oike, Takahiro Tanaka, Daigo Gunji, Department of Surgery, Mitsubishi Kyoto Hospital, Kyoto 615-8507, Japan
Shuji Hiramoto, Ayako Kikuchi-Mizota, Akira Yoshioka, Department of Medical Oncology, Mitsubishi Kyoto Hospital, Kyoto 615-8507, Japan
Masahisa Kyogoku, Department of Histopathology, Mitsubishi Kyoto Hospital, Kyoto 615-8507, Japan
Hidemitsu Sugimoto, Junya Tanaka, Yoshiki Morikami, Kaori Shigemoto, Masato Nakatsuji, Department of Gastroenterology, Mitsubishi Kyoto Hospital, Kyoto 615-8507, Japan
Toyotsugu Ota, Masanobu Kaneko, Department of Radiology, Mitsubishi Kyoto Hospital, Kyoto 615-8507, Japan
Shunji Okae, Department of Internal Medicine, Mitsubishi Kyoto Hospital, Kyoto 615-8507, Japan
Author contributions: Hori T and Okada N perform this surgery; Nakauchi M provided the opinion of SILS in this case; Yoshioka A, Hiramoto S and Kikuchi-Mizota A evaluated the meaning of protein assays; Kyogoku T performed histopathological assessments; Oike F, Tanaka T and Gunji D helped to discuss this surgery; Sugimoto H, Tanaka J, Morikami Y, Shigemoto K, Nakatsuji M and Okae S performed preoperative studies including endoscopic investigations, and provided informative opinions; Ota T and Kaneko M made detailed radiological studies; Hori T wrote this paper.
Correspondence to: Tomohide Hori, MD, PhD, Department of Surgery, Mitsubishi Kyoto Hospital, 1 Katsuragosho-cho, Nishikyo-ku, Kyoto 615-8507, Japan. horit@kuhp.kyoto-u.ac.jp
Telephone: +81-75-3812111 Fax: +81-75-3927952
Received: August 13, 2013
Revised: September 15, 2013
Accepted: October 16, 2013
Published online: October 27, 2013
Processing time: 91 Days and 0.3 Hours
Revised: September 15, 2013
Accepted: October 16, 2013
Published online: October 27, 2013
Processing time: 91 Days and 0.3 Hours
Core Tip
Core tip: Cutaneous metastasis localized to the umbilicus is termed “Sister Mary Joseph’s nodule” (SMJN). SMJN is a rare nodule that originates from tumors in the abdomen or pelvis, and patients with SMJN show a poor prognosis. Previous reports of SMJN described direct disseminative or lymphogenous pathways. To our knowledge, SMJN via the hematogenous pathway is very rare. We herein report a case of advanced colon cancer with SMJN via a hematogenous metastatic pathway treated by palliative single-incision laparoscopic surgery.