73-year-old woman presented to the emergency department with a painful umbilical nodule that had been enlarging over the past 4 months. Physical examination revealed a painful and firm erythematous umbilical nodule measuring 2 cm in its largest diameter. What is the likely diagnosis? 1.Keloid  2.Umbilical hernia  3.Pyoderma gangrenosum  4.Pyogenic granuloma  5.Sister Mary Joseph's nodule

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5 - Sister Mary Joseph 's nodule . As age is 73 years, also painful and firm to confirm the diagnosis biopsy and a CECT abdomen to rule out Carcinoma stomach, carcinoma colon , carcinoma pancreas, uterine or cervical malignancy

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Pyogenic granuloma or sister mary joseph's nodule Rx disorganization

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Sister mary joseph node. Ad- full screening for abdominopelvic metastatic malignancy.

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5.

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Answer is ( 5 )..

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5 sister mary Joseph's nodule. its a sign of metastatic from underlying Gastrointestinal carcinoma most likely ca stomach, intestine and some time pseudomyxoma peritonei.

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Yes it is Sister Mary Joseph Nkdule

5

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Looks like pyogenic granuloma

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5

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