Abstract

Umbilical metastasis is one of many characteristic signs of extensive neoplastic disease. It suggests advanced distant metastasis and is associated with poor prognosis; mean survival is approximately 10-12 months, although long-term survival has been reported, but only in the presence of a solitary metastatic umbilicus nodule. Umbilical nodules are a sign of poor prognosis but if they are related to benign conditions the prognosis varies. We had a patient with an umbilical nodule in whom a carcinoma of the stomach was found on investigation. He was operated and started on chemotherapy after 3 weeks once the wound was healed. He was on regular follow-up for the last 3 months and is doing well.

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