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Case Report Open Access

Sister Mary Joseph nodule in pregnancy-associated signet ring cell carcinoma

  • 1Department of Surgery, Bugát Pál Kórház, Hungary
  • 2Department of Cardiac Surgery, Szent Rafael Kórház, Hungary
  • 3Department of Internal Medicine, Bugát Pál Kórház, Hungary
  • 4Department of Behavior Sciences, University of Szeged, Hungary
+ Affiliations - Affiliations

Corresponding Author

Péter Álmos Rajhóczki, peteralmos96@gmail.com

Received Date: November 05, 2025

Accepted Date: December 08, 2025

Abstract

Gastric cancer is the sixth most common malignancy worldwide and is associated with substantial morbidity and mortality.

A 32-year-old woman was diagnosed with stage IV signet-ring cell gastric adenocarcinoma with peritoneal carcinomatosis, a Sister Mary Joseph nodule, and rare diffuse colonic metastases.

The patient received CAPOX-therapy, followed by maintenance ramucirumab plus paclitaxel, and subsequently irinotecan monotherapy; due to feeding difficulties, a nasojejunal feeding tube was placed.

Over 20 months of follow-up, only minimal clinical progression was observed, and the patient’s condition remained stable. This case underscores the importance of early detection, multidisciplinary care, and individualized therapeutic strategies in aggressive gastric cancer.

Keywords

Gastric cancer, Signet-ring cell adenocarcinoma, Sister Mary Joseph nodule, Peritoneal carcinomatosis, Colonic metastasis, CAPOX, Ramucirumab, Irinotecan

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