A navel nodule, a nun and a neoplasm

This is a sign of something sinister

A navel nodule, a nun and a neoplasm walk into a bar — well, this woman walked into an ED at least and presented with a nodule that was named after a nun.

The 73-year-old said the painful navel node had developed over the past four months, exuding blood two days earlier.

Doctors noted a firm red umbilical nodule, measuring 2cm, but the growth protruding from her belly button was merely the tip of the iceberg, so to speak.

Umbilical nodule
The umbilical nodule (left) and CT scan.

They also discovered a palpable pelvic mass, which was confirmed by CT to be 11cm by 11cm by 9.5cm.

Diagnostic laparoscopy and biopsies of both masses revealed high-grade serous