Case for diagnosis. Ulcerated intradermal nevus simulating Sister Mary Joseph's nodule

Bandeira, Luisa Groba; Uchiyama, Juliana; Valente, Neusa Yuriko Sakai; Pires, Mário Cézar

doi:10.1590/abd1806-4841.20187324

Cited by 2 publications

(3 citation statements)

References 3 publications

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“…The umbilical congenital nevus described by Drakensjö et al [ 9 ] exhibited irregularly distributed black and brown dots, which faded over follow-up period until a minor residual brown macula with a greyish shadow remained. The intradermal nevus reported by Bandeira et al [ 10 ] was the only case of umbilical nevus showing a vascular pattern (consisting of comma-shaped and irregular vessels) with no associated pigmented structures. Apart from the aforementioned features, the lesion exhibited a polymorphous dermoscopic pattern consisting of a cerebriform area and a light-pink background accompanied by a serous and hematic crust ( Figure 3 , Figure 4 and Figure 5 ).…”

Section: Resultsmentioning

confidence: 99%

“…Bandeira et al, An Bras Dermatol., 2018 [10] Comma-shaped and irregular vessels on a light-pink background. Surrounding serous and hematic crust.…”

Section: Intradermal Nevusmentioning

confidence: 99%

“…The following supporting information can be downloaded at: , Table S1: Joanna Briggs Institute Appraisal tool questions; Table S2: Risk of bias assessment; Table S3: Overview of the characteristics of included studies. References [ 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 ] are cited in the Supplementary Materials.…”

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confidence: 99%

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Dermoscopy of Umbilical Lesions—A Systematic Review

Żółkiewicz,

Sławińska,

Maińska

et al. 2024

JCM

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Background: The umbilicus is a fibrous remnant located in the centre of the abdomen. Various entities may be encountered in this special anatomical location; however, little is known about their dermoscopic presentation. The aim of this study was to provide a comprehensive summary of existing evidence on dermoscopic features of umbilical lesions. Methods: Studies assessing dermoscopic images of umbilical lesions were included in this study. No age, ethnicity or skin phototype restrictions were applied. Papers assessing lesions outside of the umbilical area, lacking dermoscopic images and/or dermoscopic description and not related to the topic were excluded. Embase, Medline and Cochrane Library were searched from inception to the end of May 2023. The Joanna Briggs Institute critical appraisal tools were used to evaluate the risk of bias of the selected studies. The quality and the level of evidence of included studies were assessed according to the Oxford 2011 Levels of Evidence. Thirty-four studies reporting a total of 39 lesions met the inclusion criteria and were included in qualitative analysis. Results: A qualitative synthesis of the following entities was performed: melanoma, nevi, basal cell carcinoma, fibroepithelioma of Pinkus, Sister Mary Joseph nodule, mycosis fungoides, dermatofibroma, endometriosis, epidermal cyst, granuloma, intravascular papillary endothelial hyperplasia, lichen planus, omphalolith, seborrheic keratosis, and syringoma. Conclusions: Dermoscopy is a non-invasive technique that may be useful in the differential diagnosis of umbilical lesions. The main limitations of this study were lack of a high level of evidence in the studies and the lack of uniformity in applied dermoscopic terminology between included studies.

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Section: Resultsmentioning

confidence: 99%

“…Bandeira et al, An Bras Dermatol., 2018 [10] Comma-shaped and irregular vessels on a light-pink background. Surrounding serous and hematic crust.…”

Section: Intradermal Nevusmentioning

confidence: 99%

mentioning

confidence: 99%

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Dermoscopy of Umbilical Lesions—A Systematic Review

Żółkiewicz,

Sławińska,

Maińska

et al. 2024

JCM

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Umbilical nodule – A not always innocuous abdominal finding

Ray,

Baruah,

Ravina

et al. 2023

Journal of Cancer Research and Therapeutics

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Sister Mary Joseph’s nodule is an umbilical nodule found in patients with metastatic abdominal cancers. It is quite rare finding and needs a high index of suspicion for diagnosis. Detection of Sister Mary Joseph’s nodule should warrant widespread search for abdominal carcinoma and it universally carries quite poor clinical prognosis. Here, we describe the case of a 28-year-old patient who presented with Sister Mary Joseph’s Nodule and was found to have metastatic signet ring cell gastric carcinoma on investigation. A brief discussion about this rare condition is also presented.

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Case for diagnosis. Ulcerated intradermal nevus simulating Sister Mary Joseph's nodule

Cited by 2 publications

References 3 publications

Dermoscopy of Umbilical Lesions—A Systematic Review

Dermoscopy of Umbilical Lesions—A Systematic Review

Umbilical nodule – A not always innocuous abdominal finding

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