TITLE

Virchow's Node (Troisier's Sign)

AUTHOR(S)
Loh, Keng Yin; Yushak, Abd Wahab
PUB. DATE
July 2007
SOURCE
New England Journal of Medicine;7/19/2007, Vol. 357 Issue 3, p282
SOURCE TYPE
Academic Journal
DOC. TYPE
Case Study
ABSTRACT
This article presents the case of a 56-year-old woman who presented with jaundice and a painless mass in her left supraclavicular fossa which had become increasingly enlarged during the preceding 8 weeks. Physical examination showed a hard lymph node in the area and hepatomegaly. Plain radiography of the chest showed multiple nodular opacities in both lungs. Computed tomography of the abdomen showed multiple lesions in the liver and an endoscopy of the upper gastrointestinal tract revealed a fungating mass around the ampulla of Vater. Biopsy specimens from the mass and lymph nodes showed a periampullary adenocarcinoma with metastases. Abdominal cancers may metastasize to the supraclavicular lymph nodes via the thoracic duct.
ACCESSION #
25797691

 

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