 |
|
Umbilical Nodule in an Elderly Woman—Quiz Case
Karen H. Kim, MD;
Susan Teebor, MD;
Colleen M. Crandell, DO;
Sharon A. Glick, MD
State University of New York Downstate Medical Center, Brooklyn
Arch Dermatol. 2003;139:1497-1502.
|
|
| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
|
|
|
REPORT OF A CASE
A 79-year-old black woman who was admitted to the hospital because of hypoxia and sepsis was noted to have skin lesions in the umbilical area. One month earlier, she had been evaluated for abdominal pain and frequent diarrhea. An abdominal computed tomographic scan showed a large hepatic mass, and the patient underwent a laparotomy. Intraoperative gross inspection revealed massive tumor infiltration in and around the liver. A biopsy specimen demonstrated metastatic adenocarcinoma consistent with a pancreaticobiliary origin. The patient was being considered for chemotherapy before this hospitalization. A dermatology consultation was requested because new umbilical lesions had developed within the past month. The lesions were asymptomatic but progressively enlarging.
The patient's physical examination revealed abdominal distention and hepatomegaly (the liver edge was palpable at the level of the umbilicus). There were multiple hyperpigmented, smooth nodules . . . [Full Text of this Article]
RELATED ARTICLE
Umbilical Nodule in an Elderly Woman—Diagnosis
Arch Dermatol. 2003;139(11):1497-1502.
EXTRACT
| FULL TEXT
|
