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Sister Mary Joseph Nodule on Physical Exam Unfortunately, not all bulges are hernias. This umbilical bulge ended up being a mass, also called Sister Mary Joseph nodule, due to metastatic cancer. Dr. Shirin Towfigh @herniadoc #Sister #Mary #Joseph #Nodule #PhysicalExam #SisterMaryJoseph #clinical #video #umbilical #mass #lymphnode #oncology #umbilicus