Abstract:A case is presented of a primary adenocarcinoma which arose from a vitello‐intestinal duct remnant at the umbilicus in a 46‐year‐old woman. The incidence, diagnosis, and management of these unusual tumours are reviewed.
“…Remnants of small intestinal mucosa, ectopic gastric mucosa, and mixed type with colonic mucosa are reportedly seen in 62.5%, 32.5%, and 12.5% of the cases of umbilical cyst, respectively [5]. Adenocarcinoma can also rarely occur if resection leaves behind residual tissues [6]. In addition, ensuring complete resection of the umbilical cyst reduces the risk of postoperative umbilical drainage or surgical infection.…”
“…Remnants of small intestinal mucosa, ectopic gastric mucosa, and mixed type with colonic mucosa are reportedly seen in 62.5%, 32.5%, and 12.5% of the cases of umbilical cyst, respectively [5]. Adenocarcinoma can also rarely occur if resection leaves behind residual tissues [6]. In addition, ensuring complete resection of the umbilical cyst reduces the risk of postoperative umbilical drainage or surgical infection.…”
“…A literature review revealed no reports of MD adenocarcinoma with an umbilical side of VDR or a huge cystic lesions; our case is therefore considered to be the first one. As for the E type, which occurs in the abdominal wall of the umbilicus, only two cases have been reported [ 8 , 9 ]. Fig.…”
Highlights
Meckel’s diverticulum (MD) is the most common type of vitelline duct remnant (VDR), but MD adenocarcinoma is rare.
We reported a case of MD adenocarcinoma accompanied with the umbilical side of VDR and the huge cystic lesion.
The huge cystic lesion was bloated by tumor components filling up the duct due to cancer progression.
The recognition of tumor development of the embryonic remnant origin is considered important for the treatment of this adenocarcinoma.
“…Approximately 80% of these are metastatic to umbilicus (Sister Marry Joseph Nodule), and primary tumor representing for 20% at this location 5 . A primary adenocarcinoma arising at the umbilicus is very rare 3 . Adenocarcinoma represents over half of these reported cases 6 .…”
Section: Discussionmentioning
confidence: 99%
“…In our case possibility of urachus tumor is ruled out, as these tumors are found below the umbilicus, commonly related to micturition and at the time of presentation suprapubic mass is palpable in around 80% of cases. Glazer et al reported primary adenocarcinoma at umbilicus in a 46 year old female, arose from a vitello-intestinal duct remnant, (also gave two sites of origin) a primary adenocarcinoma at this site can only arise from a pre-existing endometioma or an embryological remnant 3 . Metastasis from the umbilicus is a simpler phenomenon than metastasis to the umbilicus, considering lymphatics of the abdominal wall 4 .…”
Section: Discussionmentioning
confidence: 99%
“…Primary malignancies of umbilicus accounts one fourth or one sixth of the metastatic tumors at this location 2 . A primary adenocarcinoma arising at the umbilicus is a very rare occurrence 3 .…”
Primary adenocarcinoma arising from the umbilicus is an uncommon malignancy, with only a handful of cases reported in the modern medical literature. The diagnosis is however, important because metastatic tumors of umbilicus are much commoner. A case of primary adenocarcinoma of umbilicus is being described in a 28 year male patient treated with surgical excision of nodule followed by combination chemotherapy.
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