?url_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Adc&rft.title=Umbilical+Metastasis+as+the+Manifestation+of+an+Asymptomatic+Gallbladder+Carcinoma&rft.creator=Pampanagouda%2C+SKM&rft.creator=Suryadevara%2C+S&rft.creator=Kumar%2C+V&rft.creator=Deshmane%2C+V&rft.creator=Mukunda%2C+M&rft.subject=Online+Journal+of+Health+and+Allied+Sciences&rft.description=Sister+Mary+Joseph's+nodule+(SMJN)+is+an+eponym+used+to+describe+the+metastatic+lesion+of+the+umbilicus.+Umbilical+metastases+are+rare+and+its+occurrence+as+a+first+manifestation+of+an+asymptomatic+primary+malignancy+is+very+rare.+The+gallbladder+is+the+source+of+SMJN+in+2%25-3%25+of+cases.+SMJN+can+present+in+any+one+of+the+following+ways%3B+first+manifestation+of+an+occult+primary+malignancy%2C+an+indication+of+recurrence+in+a+patient+with+a+previous+malignancy%2C+or+as+progression+of+an+underlying+symptomatic+primary+disease.+Our+study+emphasizes+the+importance+of+identifying+this+very+useful+and+easily+applicable+clinical+sign+by+careful+physical+examination+of+the+abdomen%2C+and+also+the+need+for+proper+clinical+evaluation+of+any+umbilical+lesion%2C+and+the+histological+diagnosis.+In+the+present+study+we+report+on+a+case+of+Sister+Mary+Joseph's+Nodule+as+the+presentation+of+an+asymptomatic+gallbladder+carcinoma%2C+and+review+the+relevant+literature.&rft.publisher=Kakkilaya+BS&rft.contributor=Kakkilaya%2C+Dr+Srinivas&rft.date=2014-05-15&rft.type=Journal+(On-line%2FUnpaginated)&rft.type=PeerReviewed&rft.format=application%2Fpdf&rft.identifier=http%3A%2F%2Fcogprints.org%2F9733%2F1%2F2014-1-7.pdf&rft.identifier=++Pampanagouda%2C+SKM+and+Suryadevara%2C+S+and+Kumar%2C+V+and+Deshmane%2C+V+and+Mukunda%2C+M++(2014)+Umbilical+Metastasis+as+the+Manifestation+of+an+Asymptomatic+Gallbladder+Carcinoma.++%5BJournal+(On-line%2FUnpaginated)%5D+++++&rft.relation=http%3A%2F%2Fcogprints.org%2F9733%2F