Bilateral Virchow nodes: an unusual finding of pulmonary small-cell neuroendocrine carcinoma metastasis

An enlarged left-sided supraclavicular node is a signal node for cancer metastasis. In such a case, the enlarged lymph node is often referred to as a Virchow node. The left-sided nature of the node is due to the drainage of the thoracic duct. So, the enlargement of a Virchow node is typically associ...

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Bibliographic Details
Published inAutopsy & case reports Vol. 13; p. e2023455
Main Authors Zdilla, Matthew J., Gross, Alexander R., Hajarat, Tara, Vos, Jeffrey A.
Format Journal Article
LanguageEnglish
Published Hospital Universitário da Universidade de São Paulo 2023
University of São Paulo
Subjects
anatomy
ANATOMY & MORPHOLOGY
Autopsy Case Reports
carcinoma, lymph nodes
neoplasm metastasis
neoplasms
PATHOLOGY
neoplasm metastasis
neoplasms
anatomy
carcinoma, lymph nodes
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Summary:An enlarged left-sided supraclavicular node is a signal node for cancer metastasis. In such a case, the enlarged lymph node is often referred to as a Virchow node. The left-sided nature of the node is due to the drainage of the thoracic duct. So, the enlargement of a Virchow node is typically associated with malignancies, including gastrointestinal, pulmonary, and genitourinary carcinomas, in addition to lymphomas. This report documents a particularly unusual finding: bilateral Virchow nodes, representing metastasis of small-cell neuroendocrine carcinoma.
Bibliography:Conflict of interest: The authors have no conflict of interest to declare.
ISSN:2236-1960
2236-1960
DOI:10.4322/acr.2023.455