The answer to yesterdays Medical Challenge is...drumroll....#4 - Intraabdominal Cancer.The nodule is called a "Sister Mary Joseph's" nodule and is a lymphatic metastasis to the umbilical region. This 12 year old girl had decreased appetite, vomiting and weight loss. A CT scan showed a large pelvic mass originating from the ovary, hepatic metastasis, ascites and a mass through the
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