<prompt> 20 yr old female diagnosed previously with adenocarcinoma stomach and on examination following is seen;Sister Mary joseph noduleUmbilical granulomaInfected umbilical herniaIrish node  <response>: Sister Mary joseph nodule - Cutaneous metastatic deposit around umbilicus Not Lymph node Lymph Node involvement in Ca stomach - Involvement of left supraclavicular LN - Virchows Node Aka Troisiers Sign - Involvement of Axillary LN - Irish nodes - Palpable intraperitoneal metastasis on digital rectal examination - Blummers shelf 