84 Umbilical metastasis of an endometrial carcinoma: a case report

Background Sister Mary Joseph’s nodule (SMJN) can be the first manifestation of an underlying malignancy or an indication of a recurrence in a patient with a previous malignancy. The incidence is about 1–3%. The most common origin of SMJN is ovarian and gastric carcinoma and is often a sign of poor prognosis. Metastases from primary endometrial cancer to the umbilicus are rare. According to the published literature, we only count 32 cases of SMJN with endometrial origin. Results A 77-year-old obese woman with type II diabetes and hypertension was referred to our institution for an endometrial adenocarcinoma G1 diagnosed in a previous biopsy. Total abdominal hysterectomy and bilateral salpingo-oophorectomy was performed. Histologic diagnosis revealed an endometrioid adenocarcinoma G1 with a depth of myometrial invasion Conclusions We presented a very rare case of umbilical metastasis(SMJN) of an endometrial adenocarcinoma. We decided to perform surgery alone, since there are not specific recommendations about other therapeutic approaches.