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Surgery FMGE 2019 732916f9

20 yr old female diagnosed previously with adenocarcinoma stomach and on examination following is seen;

A
Sister Mary joseph nodule
B
Umbilical granuloma
C
Infected umbilical hernia
D
Irish node
High-Yield Explanation
Sister Mary joseph nodule - Cutaneous metastatic deposit around umbilicus (Not Lymph node) Lymph Node involvement in Ca stomach - Involvement of left supraclavicular LN - Virchow's Node (Aka Troisier's Sign) - Involvement of Axillary LN - Irish nodes - Palpable intraperitoneal metastasis on digital rectal examination - Blummer's shelf

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