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    Metastasis to umbilicus is often defined as Sister Mary Joseph's (SMJ) nodule. These nodules may be a manifestation of various underlying malignancies, about 50% arising from abdominopelvic cavity most frequently from the gastrointestinal tract. Pancreatic cancer is the predisposing cause in only about 6% of cases and the most common histopathology is adenocarcinomas. We present the case of a 64-year-old male who was found to have a SMJ nodule on staging F18 FDG PETCT scan.


    Tehreem Zafar, Humayun Bashir, Myda Muzaffar. Hypermetabolic Sister Mary Joseph's nodule in pancreatic carcinoma. JPMA. The Journal of the Pakistan Medical Association. 2020 Nov;70(11):2075-2076

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    PMID: 33341866

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