Nódulo de la hermana María José" en tumor de ovario gigante

this is the case of a patient presenting with a large abdominal tumor and umbilical nodule. the fine-needle aspiration cytology confirmed the presence of a metastatic lesion due to adenocarcinoma with a high degree papillary areas and it joined to clinics and remainder researches allowed to establish the presence of ovarian neoplasm in liver, spleen and ganglia. we concluded that in the face of a clinical finding of an umbilical ganglion, it is necessary to take a sample for histological study allowing the diagnosis and the therapeutical behavior.