PMC9837627_01
Multiple purplish-brown nodules with an ulceronecrotic surface in the umbilicus and periumbilical region.
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Clinically, she was pale, emaciated, showing a globular and ascitic abdomen, an abdominal mass in the pelvic region, and purplish-brown nodules with an ulceronecrotic surface and hardened consistency in the umbilicus and periumbilical region (Fig. 1).
Left ovary enlargement (8 x 5 cm) with small cystic formations.
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The abdominal ultrasonography disclosed an enlarged left ovary, and nodules suggestive of peritoneal and liver implants (Fig. 2).
Neoplastic tissue consisting of atypical glands covered by high cylindrical epithelium with basal nuclei associated with mucinous material; diagnosis: metastatic mucinous adenocarcinoma. (Hematoxylin & eosin, x40). In the detail, high glandular cells and goblet cells over stratified squamous epithelium (Hematoxylin & eosin, x400).
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Histopathology of one of the periumbilical lesions showed neoplastic tissue, consisting of atypical glands covered by high cylindrical epithelium with basal nuclei, associated with mucinous material, compatible with metastatic mucinous adenocarcinoma (Fig. 3).