Virchow's Node

Siosaki, Marcos Duarte; Souza, Ana Tarsila Fonseca

doi:10.1056/nejmicm1204740

Cited by 12 publications

(7 citation statements)

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“…The VN in our case was anterior to the anterior scalene muscle, which is the normal location of the end node of the thoracic duct 32. For reference, an in vivo clinical image of a VN of similar size (3.0 x 2.5 cm) and location to that reported in this study has been presented by Siosaki and Souza 33…”

Section: Clinical Discussionsupporting

confidence: 68%

Troisier sign and Virchow node: the anatomy and pathology of pulmonary adenocarcinoma metastasis to a supraclavicular lymph node

Zdilla¹,

Aldawood²,

Plata³

et al. 2019

Autops. Case Rep.

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Metastatic spread of cancer via the thoracic duct may lead to an enlargement of the left supraclavicular node, known as the Virchow node (VN), leading to an appreciable mass that can be recognized clinically — a Troisier sign. The VN is of profound clinical importance; however, there have been few studies of its regional anatomical relationships. Our report presents a case of a Troisier sign/VN discovered during cadaveric dissection in an individual whose cause of death was, reportedly, chronic obstructive pulmonary disease. The VN was found to arise from an antecedent pulmonary adenocarcinoma. Our report includes a regional study of the anatomy as well as relevant gross pathology and histopathology. Our anatomical findings suggest that the VN may contribute to vascular thoracic outlet syndrome as well as the brachial plexopathy of neurogenic thoracic outlet syndrome. Further, the VN has the potential to cause compression of the phrenic nerve, contributing to unilateral phrenic neuropathy and subsequent dyspnea. Recognition of the Troisier sign/VN is of great clinical importance. Similarly, an appreciation of the anatomy surrounding the VN, and the potential for the enlarged node to encroach on neurovascular structures, is also important in the study of a patient. The presence of a Troisier sign/VN should be assessed when thoracic outlet syndrome and phrenic neuropathy are suspected. Conversely, when a VN is identified, the possibility of concomitant or subsequent thoracic outlet syndrome and phrenic neuropathy should be considered.

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Section: Clinical Discussionsupporting

confidence: 68%

Troisier sign and Virchow node: the anatomy and pathology of pulmonary adenocarcinoma metastasis to a supraclavicular lymph node

Zdilla¹,

Aldawood²,

Plata³

et al. 2019

Autops. Case Rep.

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“…It is important to know that metastasis to the supraclavicular lymph node indicates stage 4 disease. Although Virchow's node or the Troisier's node is typically enlarged in gastric cancer, it can also be seen in lymphoma, breast, oesophageal, pelvic and testicular cancers 2. Due to the poor performance status, we referred our patient for palliative therapy.…”

Section: Descriptionmentioning

confidence: 99%

Virchow's node

Sundriyal¹,

Kumar

Dubey

et al. 2013

BMJ Case Reports

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“…The thoracic duct is a continuation of the cisterna chyli at the L1 level, which then enters the thoracic cavity through the aortic hiatus and continues in the posterior mediastinum between the aorta and azygos vein. 24 The duct drains lymphatic fluid into the angle of the left subclavian and internal jugular veins. The end node of the thoracic duct is the so-called Virchow node and is located near or at this jugulo-subclavian venous junction.…”

Section: The Virchow Nodementioning

confidence: 99%