@article{oai:nagasaki-u.repo.nii.ac.jp:00022614,
 author = {Tokai, Hirotaka and Matsuo, Shigetoshi and Azuma, Takashi and Haraguchi, Masashi and Yamaguchi, Satoshi and Kanematsu, Takashi},
 issue = {3},
 journal = {Acta medica Nagasakiensia},
 month = {Sep},
 note = {A 60-year-old woman was admitted to Nagasaki Prefectural Shimabara Hospital, with a painful tumor in her umbilical region. The tumor was about 1×1 cm in size. Histological examination of biopsied specimens revealed it to be a metastatic adenocarcinoma. Abdominal computed tomography and ultrasonography revealed a cystic tumor of about 23 mm in diameter in the pancreatic body. In addition, serum levels of cancer antigen 19-9 were elevated. With a tentative diagnosis of pancreatic tumor, she underwent surgery. When we opened her peritoneal cavity, there was no evidence of intra-abdominal disseminations, liver metastases or ascites. At that time, distal pancreatectomy accompanied by splenectomy was the procedure of choice. Histological examination revealed a moderately differentiated adenocarcinoma in the pancreatic body along with fatty replacement of the pancreatic tail. The umbilical tumor was a metastatic adenocarcinoma, which is referred to as a Sister Mary Joseph's nodule., Acta medica Nagasakiensia. 2005, 50(3), p.123-126},
 pages = {123--126},
 title = {Pancreatic Cancer with Umbilical Metastasis (Sister Mary Joseph's Nodule)},
 volume = {50},
 year = {2005}
}