[위암 95 - Umbilicus metastasis from gastric cancer]
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[위암 95 - Umbilicus metastasis from gastric cancer]
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위암은 배꼽으로 전이될 수 있습니다. 복막전이를 보인 위암환자가 배꼽부위가 단단해졌다고 말씀하셨습니다. 2cm의 단단한 배꼽 종괴가 있었고 CT에서도 enhancing mass로 관찰됩니다. Joseph 수녀님이 처음 기술하였다고 알려진 umbilicus metastasis 소견입니다.
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아래는 외래에서 발견한 Sister Joseph node입니다.
위암으로 total gastrectomy 후 배꼽에 염증이 생겼다고 찾아온 환자입니다 (2016. M/42)
In the medical school, we learn the techniques of physical examination. However, as an endoscopy specialist, I depend on history taking (weight loss, bloody stool, family history, et al) and endoscopy findings. I usually check the supraclavicular node in the physical examination. And that's all.
One day, a patient said to me that his umbilicus is hard. I did not find it. He said it to me. It was a shame for me. DOCTOR should find important signs of metastasis before the PATIENT tells it.
Palpable node in the umbilicus is an old sign of peritoneal seeding of the gastric cancer. It is also called as "Sister Joseph Node". You can see more cases of Sister Joseph Node with Google Search.
2014. 7. 13. 이준행
