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)

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。

Sister Mary Joseph’s nodule in endometrial carcinoma: A case report

BACKGROUND Sister Mary Joseph’s nodule(SMJN)is rare and may occur independently or simultaneously with malignant tumors in the abdominal cavity.It has a poor prognosis.Endometrial carcinoma is the most common malignant tumor in the upper segment of the female reproductive tract;however,it rarely occurs with SMJN.We here report a case of endometrial carcinoma with SMJN.CASE SUMMARY A 75-year-old woman was diagnosed with endometrial cancer>2 years ago.After multiple cycles of chemotherapy,an obvious but painless umbilical mass was detected 2 wk before admission.The patient did not undergo surgical treatment but received chemotherapy,which was different from previous chemotherapy,for three consecutive cycles after discovery of umbilical metastases.Currently,the umbilical metastatic tumor has reduced,and the quality of life of the patient has significantly improved.CONCLUSION Once the umbilical mass is found,the possibility of SMJN should be considered.We should also take into account the poor prognosis of endometrial carcinoma complicated with umbilical metastasis,especially in patients with advanced tumors,and it is important to choose an appropriate treatment.

Malignant peritoneal mesothelioma presenting umbilical hernia and Sister Mary Joseph's nodule

Malignant peritoneal mesothelioma is a rare aggres-sive tumor of the peritoneum. An increasing number of malignant mesothelioma cases have been reported in recent years. We report here a very rare case of malignant peritoneal mesothelioma with both umbilical hernia and umbilical metastasis which is also called Sister Mary Joseph's nodule. We performed laparoscopy which showed specific laparoscopic findings, and the pathological findings of the biopsy specimen led to the diagnosis. This case was associated with umbilical her-nia which could be induced by massive ascites. A newly developed abdominal hernia should be noted as a primary symptom of malignant peritoneal mesothelioma, as shown in the present case.

结肠癌术后脐转移1例报告

结肠癌是我国常见的恶性肿瘤之一,发病率呈逐年上升趋势~[1],远处转移者约占50%~60%,其中不可切除的肝脏转移占80%~90%~[2-4],发生脐转移者极其罕见。结肠癌一旦出现脐转移,预后效果极差,临床上应高度重视。我院收治1例结肠癌脐转移患者,具体报告如下。1临床资料患者,王某某,女,69岁,2014年09月底出现便中带血,色暗红。

《创世记》38章的离题之谜——以巴赫金复调理论解读

犹太教传统认为《圣经·旧约·创世记》作者为摩西,该书与《出埃及记》、《利未记》、《民数记》、《申命记》统称为"摩西五经"(Pentateuch)。该书第37,39—50章记载了以色列的第十一子约瑟的故事,叙述了上帝透过约瑟之手保存、拯救以色列家族的史传。