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IMAGES IN ACADEMIC MEDICINE
Year : 2018  |  Volume : 4  |  Issue : 2  |  Page : 184-186

Metastatic cancer of the umbilicus


1 Department of Internal Medicine, St. Luke's University Health Network, Bethlehem, Pennsylvania 18015, USA
2 Department of Pathology, St. Luke's University Health Network, Bethlehem, Pennsylvania 18015, USA

Correspondence Address:
Dr. Sudip Nanda
Department of Internal Medicine, St. Luke's University Hospital Network, 801 Ostrum Street, Bethlehem, Pennsylvania 18015
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/IJAM.IJAM_5_18

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An 89-year-old Hispanic male patient presented to the emergency department with melena, decreased appetite, and weight loss. The physical exam revealed a firm, nontender, irregular nodule under the umbilicus. Computed tomography of abdomen showed a pancreatic head tumor with extensive metastatic disease in the abdominal organs and extension to the umbilicus. Umbilical nodule can sometimes be the only clinical manifestation of advanced metastatic disease, a thorough examination is required in patients that present with umbilical tumors. The following core competencies are addressed in this article: Patient care, Medical knowledge.


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