Nódulo de la Hermana María José en cáncer de ovario seroso papilar. Reporte de un caso y revisión de la literatura
Palabras clave:
Nódulo de la Hermana María José, Metastasis Umbilical, Cistoadenocarcinoma Seroso Papilar, Citorreducción Primaria, Sister Mary Joseph’s Nodule, Umbilical Metastasis, Papillary Serous Cystadenocarcinoma, Primary CytoreductionResumen
El nódulo de la hermana María José se refiere a una lesión metastásica en la región umbilical, constituye una entidad rara que se presenta en el 1 % a 3 % de los pacientes con neoplasia intrabdominal y/o pélvica. Se describe un caso de una paciente de 51 años de edad, quien consulta por lesión a nivel umbilical desde agosto de 2017, la cual es resecada en centro foráneo y en vista resultados que reportan cistoadenocarcinoma seroso papilar, es referida. Luego de realizar los estudios de extensión es llevada a mesa operatoria, realizándose citorreducción primaria, considerada citorreduccion completa (R0) con evolución posoperatoria favorable; la lesión umbilical fue el único signo de enfermedad metastásica. Este signo obliga a sospechar patología maligna avanzada siendo necesario hacer diagnóstico diferencial histológico con lesiones primarias (benignas y neoplásicas) y metastásicas.
Sister Mary Joseph’s nodule refers to a metastatic lesion in the umbilical region; it is a rare entity that occurs in 1 to 3% of patients with intra-abdominal and / or pelvic neoplasia. We describe a case concerning to an umbilical metastasis of an ovarian papillary serous adenocarcinoma, the umbilical lesion being the only sign of metastatic disease. The patient is a 51 years old female, who has been consulting for an umbilical lesion since August 2017, which is resected in a foreign center and in view of results that report papillary serous cystadenocarcinoma, is referred to. After carrying out the extension studies, she is taken to the operating table. Performing primary debulking (type II radical oophorectomy), considering an optimal surgery with favorable postoperative evolution. This sign is a rare entity of cutaneous metastasis and requires us to suspect advanced malignant pathology. It is necessary to make a histological differential diagnosis with primary (benign and neoplastic) and metastatic lesions.
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