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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. 1Department of Imaging, Laniado Hospital, Netanya, Israel
  2. 2Hebrew University Hadassah Medical School, Yerushalayim, Israel
  3. 3Department of Medicine, Laniado Hospital, Netanya, Israel
  4. 4Department of Pathology, Laniado Hospital, Netanya, Israel
  1. Correspondence to Professor Amichai Schattner, Hebrew University Hadassah Medical School, Yerushalayim 91120, Israel; amischatt{at}gmail.com

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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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