| IMAGES IN ACADEMIC MEDICINE |
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| Year : 2018 | Volume
: 4
| Issue : 2 | Page : 184-186 |
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Metastatic cancer of the umbilicus
Rodrigo Duarte-Chavez1, Nida Mahid1, Renee B Tehrani1, Hesham Tayel1, Santo Longo2, Sudip Nanda1
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
 Source of Support: None, Conflict of Interest: None  | Check |
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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