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Power of observation: Sister Mary Joseph nodule
  1. Livnat Uliel1,
  2. Amichai Schattner2,3,
  3. Munir Nashashibi4,
  4. Ina Dubin3
  1. 1 Department of Imaging, Laniado Hospital, Netanya, Israel
  2. 2 Hebrew University Hadassah Medical School, Yerushalayim, Israel
  3. 3 Department of Medicine, Laniado Hospital, Netanya, Israel
  4. 4 Department of Pathology, Laniado Hospital, Netanya, Israel
  1. Correspondence to Professor Amichai Schattner, Hebrew University Hadassah Medical School, Yerushalayim 91120, Israel; amischatt{at}

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An 83-year-old woman was admitted with recent-onset abdominal pain and anorexia. Her vital signs were normal, the abdomen was soft and non-tender with notable umbilical mass and no other significant findings. Laboratory tests and X-rays were unremarkable. Ultrasound-guided core biopsies of the umbilical mass demonstrated high-grade carcinoma (figure 1). Abdominal CT and gynaecological evaluation revealed its source—gynaecological cancer (figure 2). The patient opted for palliative care and passed …

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  • Contributors AS primarily wrote the paper with the participation of ID, LU (imaging) and MN (pathology).

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; internally peer reviewed.

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