Umbilical Metastasis From Carcinoma of the Pancreas

Tumors of the umbilicus, primary or metastatic, are rare. Cancers of the umbilicus account for more than one tenth of all malignant tumors that affect the skin of the anterior part of the abdominal wall. 1 Metastasis of adenocarcinoma to the umbilicus is a particularly infrequent occurrence, but frequent enough to have some diagnostic and prognostic value. 2-4 Our patient had an umbilical metastatic adenocarcinoma and eventually died with extensive peritoneal metastases. Report of a Case A 67-year-old man was admitted to the hospital because of vague abdominal discomfort during the preceding month. He was well until four months previously, when he started losing weight; he had lost 12.6 kg during that period. He also complained of anorexia and constipation. There was no history of hematemesis, melena, or fresh blood in the stool, and no history of anorexia, nausea, or vomiting. No suggestive family history of malignancy was elicited. Abdominal