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Differential diagnosis of an enlarged Virchow's node includes lymphoma, various intra-abdominal malignancies, breast cancer, and infection (e.g. of the arm). Similarly, an enlarged right supraclavicular lymph node tends to drain thoracic malignancies such as lung and esophageal cancer, as well as Hodgkin's lymphoma.
In the mediastinal lymph nodes arises lymphatic ducts, which drains the lymph to the left subclavian vein (to the venous angle in the confluence of the subclavian and deep jugular veins). The mediastinal lymph nodes along the esophagus are in tight connection with the abdominal lymph nodes along the esophagus and the stomach. That fact ...
The first sign of a malignancy, especially an intra-abdominal one, may be an enlarged Virchow's node, a lymph node in the left supraclavicular area, in the vicinity where the thoracic duct empties into the left brachiocephalic vein, right between where the left subclavian vein and left internal jugular join (i.e., the left Pirogoff angle).
The superficial lateral cervical lymph nodes are found along the course of the external jugular vein, between the inferior aspect of the parotid gland and the supraclavicular nodes. The nodes are intercalated along the course of the vessels draining the parotid nodes and the infraauricular nodes.
Various abdominal malignancies, especially stomach cancer: Troisier's node or sign at Whonamedit? Enlargement of the left supraclavicular lymph node (=Virchow's node) Trousseau's sign of malignancy: Armand Trousseau: internal medicine: various malignancies, including pancreatic: spontaneous thrombosis of multiple veins, including portal circulation
A medial supraclavicular lymph node is a lymph node located above the collar bone and between the center of the body and a line drawn through the nipple to the shoulder.
The intestinal trunk receives the lymph from the stomach and intestine, from the pancreas and spleen, and from the lower and front part of the liver, and empties lymph into the cisterna chyli, which in turn drains into the thoracic duct.
1: Submental lymph nodes 2: Submandibular lymph nodes 3: Supraclavicular lymph nodes 4: Retropharyngeal lymph nodes 5: Buccinator lymph node 6: Superficial cervical lymph nodes 7: Jugular lymph nodes 8: Parotid lymph nodes 9: Retroauricular lymph nodes and occipital lymph nodes