Abstract:
Umbilical nodule due to tumor metastasis is a rare presentation which is known as
Sister Joseph's nodule. This is usually due to disseminated intra abdominal
malignancies which are mostly adenocarcinomas. Esophageal squamous cell
cancer commonly presents with progressive dysphagia, and it usually
metastasizes to liver, lungs, bones, and regional lymph nodes; however,
spreading to the umbilicus is an extremely rare occurrence. In this paper, we
report a 77-year-old man presenting with a painful umbilical nodule as the only
presenting feature of disseminated, poorly differentiated squamous cell carcinoma
of the esophagus.
