右侧结肠癌伴Sister Mary Joseph’s结节及腹股沟淋巴结转移——一例报告及文献综述(英文)

Carcinoma of the right side colon accompanied by Sister Mary Joseph's nodule and inguinal nodal metastases:a case report and literature review

Sister Mary Joseph’s结节(Sister Mary Joseph’s nodule,SMJN)是指腹腔内恶性肿瘤导致的脐部转移性结节,1949年由Hamilton Bailey命名以纪念St.Mary’s Hospital的护士Sister Joseph。SMJN并不多见,但个案报道屡屡见诸文献。这种脐部转移可以与腹腔内肿瘤同时出现或异时出现,是预后极差的表现。SMJN最常见原发肿瘤为胃癌及卵巢癌,结肠癌特别是右侧结肠癌引起的SMJN极其罕见。另外右侧结肠癌转移至腹股沟淋巴结未见文献报道。本文报道一例右侧结肠癌同时伴有SMJN及腹股沟淋巴结转移,并对相关文献进行综述。

Umbilical metastases from intraperitoneal malignancies are universally referred to Sister Mary Joseph＇s nodule （SMJN）. The most frequent primary sites include the stomach and ovaries. SMJN caused by colon cancer is very uncommon. Likewise, carcinoma of the right side colon metastasizing to inguinal lymph nodes is considered almost impossible. To the best of our knowledge, no report of right side colon cancer synchronously involving both the umbilicus and inguinal lymph nodes is available. We present a case of right side colon cancer （RSCC） metastasizing to the umbilicus and inguinal lymph nodes, which was confirmed by pathology and immuohistochemistry.