Supraclavicular lymph nodes: Difference between revisions
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'''Supraclavicular lymph nodes''' are [[lymph nodes]] found above to the [[clavicle]], that can be felt in the [[supraclavicular fossa]]. The supraclavicular lymph nodes on the left side are called '''Virchow's nodes'''.<ref name=Hohenfellner2007>[https://books.google.se/books?id=f-4TM0_LbBsC&pg=PA400 page 400] in: {{cite book|title=Emergencies in Urology|author=M. Hohenfellner, R.A. Santucci|publisher=Springer Science & Business Media|year=2007|isbn=978-3-540-48605-3}}</ref> |
'''Supraclavicular lymph nodes''' are [[lymph nodes]] found above to the [[clavicle]], that can be felt in the [[supraclavicular fossa]]. The supraclavicular lymph nodes on the left side are called '''Virchow's nodes'''.<ref name=Hohenfellner2007>[https://books.google.se/books?id=f-4TM0_LbBsC&pg=PA400 page 400] in: {{cite book|title=Emergencies in Urology|author=M. Hohenfellner, R.A. Santucci|publisher=Springer Science & Business Media|year=2007|isbn=978-3-540-48605-3}}</ref> It leads to an appreciable mass that can be recognized clinically, called '''Troisier sign'''<ref> Zdilla M.J. et al. Troisier sign and Virchow node: the anatomy and pathology of pulmonary adenocarcinoma metastasis to a supraclavicular lymph node (2019). NCBI https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6394356/</ref |
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==Structure== |
==Structure== |
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A '''Virchow's node''' is a left-sided supraclavicular lymph node. |
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A '''Virchow's node''' is a left-sided supraclavicular lymph node. It leads to an appreciable mass that can be recognized clinically, called '''Troisier sign'''<ref> authors =Zdilla M.J. et al. | title=Troisier sign and Virchow node: the anatomy and pathology of pulmonary adenocarcinoma metastasis to a supraclavicular lymph node | journal= NCBI.| year=2019 | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6394356/</ref> |
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==Clinical significance== |
==Clinical significance== |
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Revision as of 15:56, 27 July 2021
| Supraclavicular lymph nodes | |
|---|---|
 Lymphatic vessels of the head and neck, with the supraclavicular lymph nodes described as "deep cervical lymph nodes", visible at the bottom | |
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| Details | |
| System | Lymphatic system |
| Identifiers | |
| Latin | nodi lymphoidei supraclaviculares |
| FMA | 14192 |
| Anatomical terminology | |
Supraclavicular lymph nodes are lymph nodes found above to the clavicle, that can be felt in the supraclavicular fossa. The supraclavicular lymph nodes on the left side are called Virchow's nodes.[1] It leads to an appreciable mass that can be recognized clinically, called Troisier signCite error: A <ref> tag is missing the closing </ref> (see the help page).
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.
History
Virchow's nodes are named after Rudolf Virchow (1821–1902), the German pathologist who first described the nodes and their association with gastric cancer in 1848.[2] The French pathologist Charles Emile Troisier noted in 1889 that other abdominal cancers, too, could spread to the nodes.[3]
Additional images
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The supraclavicular lymph nodes can be felt in the supraclavicular fossa, shown here.
References
This article incorporates text in the public domain from page 697 of the 20th edition of Gray's Anatomy (1918)
- ^ page 400 in: M. Hohenfellner, R.A. Santucci (2007). Emergencies in Urology. Springer Science & Business Media. ISBN 978-3-540-48605-3.
- ^ Virchow R (1848). "Zur Diagnose der Krebse in Unterleibe". Med. Reform. 45: 248.
- ^ Troisier CE (1889). "L'adénopathie sus-claviculaire dans les cancers de l'abdomen". Arch. Gen. Med. 1: 129–138 and 297–309.
Further reading
- Cervin, J. R.; Silverman, J. F.; Loggie, B. W.; Geisinger, K. R. (1995). "Virchow's node revisited. Analysis with clinicopathologic correlation of 152 fine-needle aspiration biopsies of supraclavicular lymph nodes". Archives of Pathology & Laboratory Medicine. 119 (8): 727–30. PMID 7646330.
- Negus, D.; Edwards, J. M.; Kinmonth, J. B. (1970). "Filling of cervical and mediastinal nodes from the thoracic duct and the physiology of virchow's node—studies by lymphography". British Journal of Surgery. 57 (4): 267–71. doi:10.1002/bjs.1800570407. PMID 5437920. S2CID 19698597.
- Mizutani, Masaomi; Nawata, Shin-Ichi; Hirai, Ichiro; Murakami, Gen; Kimura, Wataru (2005). "Anatomy and histology of Virchow's node". Anatomical Science International. 80 (4): 193–8. doi:10.1111/j.1447-073X.2005.00114.x. PMID 16333915. S2CID 40130186.
