Abstract
Umbilicus is a rare focus of cutaneous metastasis. It is called as Sister Mary Joseph’s nodule (SMJN), and is associated with critical prognosis. The most frequent primary malignancies are stomach, colon and pancreas in males, ovaries and endometrium in females. Neoplasm of gallbladder with SMJN is a rare presentation. We present a case report of an elderly male, who presented with umbilical metastasis (SMJN) on non-guided fine needle aspiration cytology (FNAC). On subsequent work-up through previous slides and further radiological studies, this case was later diagnosed as primary gallbladder adenocarcinoma, which is now presenting with multiple liver metastasis and SMJN. This case report suggests the poor prognosis of gallbladder carcinoma and the unusual presentation of SMJN in gallbladder cancer.
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