【摘要】 目的 探讨生殖道恶性肿瘤脐转移的临床特征。 方法 对1990～2003年收治的4例盆腹腔恶性肿瘤脐转移(Sister Mary Joseph nodule，SMJN)患者的临床资料进行回顾性分析并复习文献。 结果 4例患者经病理证实为SMJN，均为腺癌。原发肿瘤均来源于生殖道恶性肿瘤，直接扩散是其重要转移途径。脐转移后平均生存期25.5个月，除1例存活(7个月)，其余3例死于原发性恶性肿瘤广泛转移。 结论 生殖道恶性肿瘤脐转移是恶性肿瘤晚期和预后差的标志，应手术切除脐部肿瘤，并辅以化学药物治疗和放射治疗。

    关键词 生殖道恶性肿瘤 肿瘤转移 脐

    Analysis on umbilical metastasis from maligant neoplasms of genital tract:a report of4cases

    Jiang Ying，Guo Shuli

    Department of Obstetrics and Gynecology，Beijing Chaoyang Hospital Affiliated to the Capital University of Medical Sciences，Beijing100020.

    【Abstract】 Objective To study the clinical features of the umbilical metastasis from malignant neoplasms of genital tract.Methods To analyse the clinical feature from4cases of SMJN and review pertinent literature.Results The umbilical metastasis was comfirmed pathologically，while4cases were diagnosed as adenocarcinoma.4cases SMJN were come from maligant neoplasms of genital tract.Direct diffusion was the important spreading path.the mean survial was25.5months ......