Mathews Journal of Case Reports


Previous Issues Volume 5, Issue 1 - 2020

Sister Mary Joseph’s Nodule in a Patient with Adenocarcinoma of Lung

Dushantha Madegedara*, Lihini Basnayake, Sajani Dharmadasa, Sachini Seneviratne, Luckmy S. A, Ishelda Nawarathne, Prasanna Wijerathne, Jayani Jayawardhana

Respiratory unit, National Hospital, Kandy, Sri Lanka

*Corresponding author: Dushantha Madegedara, Respiratory unit, National Hospital, Kandy, Sri Lanka, E-mail: [email protected]; Tel: +94-777-840-114.

Received Date: August 02, 2020
Publication Date: August 26, 2020
Copyright: Madegedara D, et al. ©2020. 
Citation: Madegedara D. (2020). Sister Mary Joseph’s Nodule in a Patient with Adenocarcinoma of Lung. Mathews J Case Rep. (5)1: 62.


Sister Mary Joseph’s nodule (SMJN) is a metastatic umbilical deposit secondary to any primary visceral malignancy. It is a relatively rare phenomenon which signifies poor prognosis and shorter survival time as it is usually associated with advanced malignancy. The most common origins of SMJN are gastrointestinal and gynaecological malignancies. We present a case of a 69-year-old male who presented with progressive breathlessness, cachexia and a coexisting umbilical lesion suggestive of SMJN. He was found to have a right side malignant pleural effusion with multiple pleural deposits and the histopathological studies of both pleural and umbilical deposits confirmed metastatic deposits from an adenocarcinoma of primary pulmonary origin, which is a rare occurrence with only a few cases reported so far.

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